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Nipple mass

  • Common ddx

    • gynecomastia of puberty, thelarche, simple cyst, fibroadenoma
  • Serious ddx

    • Paget disease of the nipple, breast cancer, ductal carcinoma, inflammatory carcinoma
  • Labs

    • mammogram/ultrasound
    • FNA, biopsy if suspicious
    • ductogram if bloody discharge
  • Other ddx

    • intraductal papilloma, galactocele, lactational adenoma, mastitis, breast abscess
  • HPI

    • onset
    • discharge
  • PMH, PSH, PGynH

  • FH

    • breast cancer, ovarian cancer
  • SH

  • Meds

  • Allergies

  • Px

    • vitals
    • inspection, skin overlying lesion
    • palpation, discharge
    • depth
    • size
    • feel: firm vs soft, rubbery, mobile vs nonmobile, smooth vs lumpy
    • tender vs nontender

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.