<prompt> A blood stained discharge from the nipple indicatesBreast abscessFibroadenomaDuct papillomaFat necrosis of breast  <response>: Duct papilloma 831 - Baity Love 25th, 281- CSDT 13thBlood discharge from nipple caused by benign papilloma in the ductCauses of blood stained discharge from nippleBlood stained discharge from a single ductMore than one duct, Intraductal carcinoma Intraductal papilloma Duct ectasia Carcinoma Ectasia Fibrocystic diseaseCauses of other tvpe of discharge from nippleSerous any colourGrumousGramPurulentMilk Fibrocystic disease Duct ectasia Carcinoma Duct ectasiaInfections Lactation OCP users Estrogen replacement therapyGreenish discharge is seen in fibroadenosis and mammary duct ectasia Treatment of ductal papilloma 40 years - Michrodochectomy Lobular carcinoma are associated with bilaterality, A biopsy of the contralateral breast is therefore requiredCEA is a marker of Pagets disease of the mammary gland Infiltratina ductal carcinomaPost radical neck dissection syndrome - arising from denervation and atrophy of the trapezius muscle due to sacrifice of the spinal accessory nerve SAN- Inability to abduct the shoulder beyond 90deg cephalad- Long standing pain in the shoulder- Deformity of the shoulder girdle- Drooping of the shoulder, shoulder abduction and external rotationCauses of Fat necrosis1. After surgery surgical trauma - Wide local excision Reduction mammoplsty Breat reconstruction Breast biopsy2. Following radiotherapy including iridium implant3. following trauma4. Autologous fat injection using the liposuction technique to fill in irregular contours small soft tissue defects in the breast may lead to fat necrosis secondary to poor blood supply in the injected fat5. Conservative treatment of breast cancer with lumpectomy radiation therapy may also result in fat necrosis Phenomena resulting from lymphatic obstruction in advanced breast canceri Peauds orange due to cutaneous lymphatic oedemaii Cancer-en-cuirasseiii Lymphangiosarcoma Aromatase Inhibitors are used in Breast carcinoma are - Letrozole, Anastrozole, Exemestane, Aminoglutethimide 