Bloody discharge from nipple-unilateral

[slyspyder]

So, today I noticed some blood on the right side of my bra.  There was a small amount, but enough to soak through the bra. I could still see a small amount on my nipple  This was spontaneous as I had no trauma, issue, or injury to my breast.  I do not run. I have not had a mammogram.  I cannot feel a lump in my breast and have no pain.  This is the only time that I have experienced this.  It is the 3rd day of my menstral cycle (if that makes a difference).  I do have a family history of breast (and other) cancer. My mother died at age 38 with ovarian cancer.  My maternal grandmother had a mastectomy and my maternal great grandmother had a bilateral mastectomy.  I am 32 years old.  

Any advice?

[slyspyder]

My OB was able to get me in yesterday. After examination, she also said that she thought it was likely papilloma. She diagnosed me with fibercystic breasts as well.  She ordered a diagnostic mammogram and ultrasound on that breast.  I was thankful that she was able to get me in so quickly!

[slyspyder]

Thank you very much.  I have called my OB/GYN to try to get an appointment.  I am sure it is nothing, but still makes me worry so it is great to have a place to ask questions.  Thanks again!

[PaulMD]

Hi there.

Bloody nipple discharge can have several reasons.  This can be due to a localized infection in the breast or nipple area causing this bleeding.  There are also benign tumors that can cause bleeding, and the most common of which is papilloma.  However, the management of breast papilloma is somewhat tricky.  It would involve a surgical procedure, but this should done while the bleeding is active for the surgeon to localize the source.  

Some would utilize breast duct evaluation to somehow localize these lesions.  It is best that you show this to your doctor to get evaluated right away.

Regards and God bless.