Bloody Nipple Discharge in Infancy: A Case Report and Recommendations for Management

“Coffee‐colored” nipple discharge in prepubertal age

“…Furthermore, a diagnosis and treatment algorithm for children presenting a bloody nipple discharge has been developed not so long ago 4 . Particularly, first‐line conservative management is usually recommended especially in girls, and surgery is mandatory only in selected cases 2,4,5 . In the present case, despite rarity of a “coffee‐colored” nipple discharge, the young patient was successfully treated via conservative therapy as recommended by the scientific community without the necessity to perform a biopsy and/or a surgical approach.…”

Spontaneous Brownish Nipple Discharge in a 9‐Year‐Old Boy

“…Macroscopically the lesion may be pedunculated or broad based and measure only few millimeters. Histologic analysis reveals proliferation of the ductal epithelium characterized by myoepithelial cells and fibrovascular stroma .…”

“…Recurrences are uncommon . Surgery may be indicated in infants and children with spontaneous, persistent, unilateral bloodstained nipple discharge accompanied by a palpable mass . Local excision through a circumareolar incision is curative.…”