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== '''Investigation''' == * Mammography if over 40 * USS of any clinical or radiological lesions * Bloods if suspected galactorrhoea (prolactin, renal function, TSH, b-hCG, then MRI pituitary) * Further tests ** Ductogram? *** Can sometimes identify filling defects within duct ** Cytology *** Low diagnostic yield but can be done *** Companion series says it has no role in routine management due to low sensitivity ** Core or excisional biopsy ** Endoscopic examination of ducts *** Companion series does not sound enthusiastic
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