With a ductal mass, which clinical finding is most likely?

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Multiple Choice

With a ductal mass, which clinical finding is most likely?

Explanation:
Ductal masses typically irritate or obstruct the milk duct, leading to nipple discharge. This is the most characteristic presenting feature, especially with intraductal lesions like papillomas, which can cause spontaneous, unilateral discharge. In contrast, a palpable lump with no discharge can occur with non-ductal masses, skin dimpling points to invasion/tethering of Cooper ligaments, and fever suggests infection or inflammation. So nipple discharge fits best with a mass arising inside the duct.

Ductal masses typically irritate or obstruct the milk duct, leading to nipple discharge. This is the most characteristic presenting feature, especially with intraductal lesions like papillomas, which can cause spontaneous, unilateral discharge.

In contrast, a palpable lump with no discharge can occur with non-ductal masses, skin dimpling points to invasion/tethering of Cooper ligaments, and fever suggests infection or inflammation. So nipple discharge fits best with a mass arising inside the duct.

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