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