Snap Shot A 35-year-old women comes to the outpatient department with a history of painless, bloody discharge from the right nipple that she noticed that morning. She reports that she has otherwise been in good health. She is nulliparous. Examination of the right breast reveals no palpable mass, but blood can be milked from the nipple. There is no lymphadenopathy in the axilla. Introduction Most common cause of bloody discharge in a women under 50 Benign polypoid epithelial tumors in located in the lactiferous ducts of breast Develop in close proximity to the nipple Presentation Usually no mass found on physical exam typically 1-5 mm in diameter Evaluation Requires workup including excisional biopsy of affected duct must rule out intraductal papillary carcinoma mammography Treatment Surgical excisional biopsy of affected duct Prognosis, Prevention, and Complications Not associated with increased risk of malignancy