<prompt> A 25 Yr old lady presents with spontaneous nipple discharge of 3 months duration. On examination the discharge is bloody and from a single duct. The following statements about management of this patient are true exceptUltrasound can be useful investigationRadical duct excision is the operation of choiceGalactogram, though useful is not essentialMajority of blood stained nipple discharges are due to papilloma or other benign condition  <response>: Treatment Treatment must firstly be to exclude a carcinoma by occult blood test and cytology. Simple reassurance may then be sufficient but, if the discharge is proving intolerable, an operation to remove the affected duct or ducts can be performed micro-dochectomy. Ref: Bailey and love 27th edition Pg no : 865 