Buying health services for local people

If you have recently travelled from Wuhan, China or are looking for information on the coronavirus outbreak please go to our page on coronavirus or the information on GOV.UK

en English
en English

Nipple discharge – Information for GPs

Referral criteria / commissioning position

Refer to secondary care when:

  • conventional primary care management has failed to resolve the issue

Red flag symptoms

  • unilateral single duct discharge
  • unilateral spontaneous, blood stained, serious or clear discharge
  • any associated lump or skin changes

Investigations prior to referral

  • clinical examination to reproduce symptoms if possible and determine if single or multiple duct origin

Information to include in referral letter

  • Outline condition and duration
  • Treatments and interventions, current & past tried including the results,
  • Relevant past medical/surgical history
  • Drug history (prescribed and non-prescribed)
  • Current regular medication
  • BMI
  • Smoking status
  • Alcohol consumption

References and additional information

Kernow Clinical Commissioning Group Referral Guidelines

Best Practice Guidelines For Patients Presenting With Breast Symptoms

CRUK Guidelines For Referral of Patients With Breast Problems

SIGN Guideline 84: Management of Breast Cancer in Women

en English