IN RESTRICTING this discussion to the management of patients having a bloody discharge from the nipple, I am attempting to focus attention on this problem to the exclusion of other important related matters such as the nonsanguineous discharges. It is in the handling of the bleeding nipple in particular that both the patient and the physician often pursue either an uneasy radical course or an uneasy conservative course. I refer specifically to the rather widespread use of amputation of the breast, usually a simple amputation, for this condition. And I refer, on the other hand, to that advice which is sometimes given to wait an arbitrary period of time or for the development of a mass, before deciding on a definite course of therapy.
It is no wonder that patients with this condition are concerned when all lay cancer literature warns particularly and properly about the appearance of any strange