BREAST DISCHARGE

BREAST DISCHARGE Breast Discharge True Galactorrhea Other Breast Discharge Abnormal TSH/ Prolactin Normal TSH/ Prolactin • Idiopathic High Prolactin + Normal TSH High Prolactin + Normal/ Low TSH Autonomous Production • Microprolactinoma • Steroid Hormone Intake • Chronic Renal Failure • Stress (e.g. Pregnancy, Breast Stimulation, Trauma/Surgery) • Renal Cancer or Failure • Lactotroph Adenoma • Bronchogenic Tumor • Contraceptive Pill/Patch/Ring • Pituitary Macroadenoma • Dopamine Inhibition •Pituitary Stalk Compression/Lesion •Primary Hypothyroidism High Prolactin + High TSH (on microscopy) •Neoplasm (usually blood) •Other Internal Breast Discharge