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Clinical features

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Patients are most commonly in the decade around the menopause or older. It has been estimated that by the age of 70, 40% of women have a substantial degree of duct ectasia.

Presentation is usually with a hard or doughy tender lump beneath or close to the areola, and nipple discharge which is often cheesy but may be green or blood stained. There may be slit-like nipple retraction.

The condition may be complicated by secondary infection.

Dilated ducts may be seen on mammography.

Differentiation from carcinoma may be difficult clinically.


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