Ask an Expert: View a Question

Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.

If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-997-8282. It is possible to get an appointment for a second opinion within a few days of contacting us.

We hope you find the information helpful!.

ForumQuestionsAsk a Question
Intraductal Papillomas
General questions about intraductal papillomas.
1,363 Ask a Question

AskedPublicly Submitted Question
8/14/2017 I have had a brownish very small amount of discharge that is not always happening and it never comes out on it's own without being expressed I went to the doctor they did a mammogram ultrasound and an MRI with contrast and cannot find anything theyre saying that I probably have a micro papilloma that can show up in the future meanwhile my gynecologist before he sent me to the breast surgeon did a smear on a glass slide and sent it to pathology and it came back with atypical cells but the breast surgeon is saying they completely disregard that because it is not the normal procedure for them to test anything does anyone know any other test that can be done
RepliedJHU's Breast Center Reply
8/15/2017The cytological examination of nipple discharge is controversial and is generally thought to have poor sensitivity for detecting breast cancer and is therefore of limited diagnostic value. Results should be correlated with clinical and radiologic findings. The most common cause for nipple discharge is a papilloma. A ductogram can be helpful for those with normal mammography.

Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.


© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System, All rights reserved.