A 48-year-old woman presents to the GP with a 3-month history of persistent left breast nipple retraction. She has no lump on examination. She had nor...

Question

A 48-year-old woman presents to the GP with a 3-month history of persistent left breast nipple retraction. She has no lump on examination. She had normal bilateral mammography 1 year ago. Which is the single most appropriate action?

Accepted Answer

Refer on a suspected cancer pathway (2-week wait) - new-onset nipple retraction in a woman >=50 (or any age with other concerning features) warrants urgent investigation

Answer

Reassure as mammography was recently normal

Answer

Prescribe topical oestrogen to the nipple

Answer

Repeat mammography in 12 months

Answer

Arrange a breast ultrasound in primary care

uk-drcog MCQ (SBA): New Nipple Retraction - 2WW Referral

A 48-year-old woman presents to the GP with a 3-month history of persistent left breast nipple retraction. She has no lump on examination. She had normal bilateral mammography 1 year ago. Which is the single most appropriate action?