23rd September 2021

A 45-year-old female presents to her GP for the fifth time with nipple discharge

A 45-year-old female presents to her GP for the fifth time with nipple discharge. She had previously been referred to the breast clinic, though no suspicious findings had been identified on breast ultrasound, mammography or breast magnetic resonance imaging (MRI). The patient remains adamant that she is not satisfied with her current level of care. There is no past medical or family history of note. On examination, there is bloody nipple discharge, though no breast lumps or skin changes are identified.

Which of the following is the most appropriate management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.