They replied that as there was no pain or swelling in the breast, it was unlikely to be cancer. Diffusely spreading intraductal carcinomas which often have no clinically palpable breast mass can manifest as pathological ND. Both of them knew about breast cancer, but had no knowledge about other warning signs of breast cancer apart from swelling and pain.
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Although the effectiveness of regular BSE remains controversial, it can be used as a strategy to create breast health awareness among women. Bull World Health Organ. Proper clinical assessment, cytological evaluation of the ND, and mammography ought to be performed in all such cases. Histological section showing dilated ducts with ductal carcinoma in-situ.
What Causes Nipple Discharge in Non-Lactating Women?
BSE and breast awareness Breast self-examination BSE is a systematic method of regular self-inspection and palpation of the women coming from breast and axilla. Histology in both cases revealed diffusely spreading intraductal carcinoma, with focus of microinvasion in one case. In both these women, there was no history of mass or pain in the breast.