Bleeding from the nipple is seen in which of the following conditions? 1. Duct ectasia 2. Ductal papilloma 3. Fibroadenoma 4. Chronic breast abscess 5. Carcinoma of Breast
**Core Concept**
Bleeding from the nipple, also known as nipple discharge, can be caused by various breast conditions. The underlying principle being tested here involves the anatomy and pathology of the breast, particularly the ductal system.
**Why the Correct Answer is Right**
The correct answer, **Ductal papilloma**, is a small, benign tumor that grows in the milk ducts of the breast. It is a common cause of nipple discharge, especially if the discharge is bloody. This is because the papilloma can irritate the ductal lining, leading to bleeding.
**Why Each Wrong Option is Incorrect**
**Option A:** Duct ectasia is a condition where the milk ducts beneath the nipple become widened, which can cause a thick, sticky discharge, but it is not typically associated with bleeding.
**Option C:** Fibroadenoma is a benign breast tumor, but it does not usually cause nipple discharge or bleeding.
**Option D:** Chronic breast abscess can cause various symptoms, including pain and swelling, but it is not commonly associated with nipple bleeding.
**Clinical Pearl / High-Yield Fact**
A key point to remember is that any nipple discharge, especially if it's bloody, warrants further investigation, as it can be a symptom of underlying breast cancer, although most causes are benign like ductal papilloma.
**Correct Answer:** B. Ductal papilloma