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Article
January 1958

Carcinoma of the Breast Associated with Discharge from the Nipple but No Palpable Mass

AMA Arch Surg. 1958;76(1):100-105. doi:10.1001/archsurg.1958.01280190102019
Abstract

Many investigators have expressed various opinions concerning the significance of a discharge from the nipple, but few have specifically considered the problem of carcinoma of the breast associated with discharge from the nipple in the absence of a palpable mass. Some earlier investigators reported that more than 50% of such breasts were malignant, but the weakness of their studies was the misinterpretation of the so-called papillary lesions. In the past many lesions which are now recognized to be papillomas were called "carcinomas."

Geschickter1 found cancer of the breast eventually developing in 9% of patients presenting themselves with discharge from the nipple. On the other hand, Bell2 had never seen a carcinoma of the breast associated with a discharge from the nipple in the absence of a palpable mass. The present study was undertaken to determine the incidence of cancer of the breast in patients whose only symptom and

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