A 29-Year-Old Woman Comes to the Office Due to an Intermittent

A 29-year-old woman comes to the office due to an intermittent nipple discharge for the past several weeks.  She has had no fever or breast pain.  The patient has never been pregnant despite having unprotected intercourse.  She experienced menarche at age 12.  Beginning a year ago, the patient's menses slowed to 2- to 3-month intervals and stopped completely 6 months ago.  She has no other medical conditions and takes no medications.  The patient's mother was diagnosed with metastatic breast cancer at age 60 and died recently.  BMI is 31 kg/m².  On physical examination, white discharge is expressible from both nipples.  The remainder of the physical examination is within normal limits.  Urine β-hCG testing is negative.  Which of the following is the most likely diagnosis in this patient?

A) Fibroadenoma
B) Fibrocystic changes of the breast
C) Galactocele
D) Inflammatory breast carcinoma
E) Intraductal papilloma
F) Lobular breast carcinoma
G) Paget disease of the breast
H) Pituitary adenoma

Correct Answer:

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