<prompt> A women noticed mass in her left breast with persistent bloody discharge. Histopathology revealed duct ectasia. More than one duct is involved. What is the treatment of choice?Simple mastectomyMicrodochectomyLobectomyHadfield operation  <response>: Periductal mastitis, also called plasma cell mastitis or mammary duct ectasia, is an uncommon benign disorder characterized by dilated or ectatic ducts with retained secretions, surrounded by significant tissue inflammation. A microdochectomy is indicated where the discharge is from a single, defined duct. A subareolar resection of the ducts Hadfields operation is undeaken where a bloodstained discharge issues from several ducts. Ref: Surgery: Diagnosis and Management edited by Nigel Rawlinson, Derek Alderson, 2010, Page 219. 