{"id":409,"date":"2018-10-23T18:55:50","date_gmt":"2018-10-23T18:55:50","guid":{"rendered":"https:jwcistage.wpengine.com\/breast\/treatment-2\/nipple-discharge\/"},"modified":"2025-04-09T19:24:33","modified_gmt":"2025-04-09T19:24:33","slug":"nipple-conditions","status":"publish","type":"page","link":"https:\/\/www.saintjohnscancer.org\/breast\/breast-health\/nipple-conditions\/","title":{"rendered":"Nipple Conditions"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":null,"protected":false},"author":2,"featured_media":0,"parent":393,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"class_list":["post-409","page","type-page","status-publish","hentry"],"acf":{"layers":[{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"<p style=\"font-size: 28px; line-height: 32px; letter-spacing: -0.5px; color: #042f72; font-weight: 600; padding-top: 50px;\">Nipple conditions can affect both men and women and are often linked to lactation, inflammation, or hormonal changes. It is crucial to seek guidance from a compassionate and experienced multi-disciplinary team if you notice any changes in your nipples or experience new onset discharge. <\/p>\n<p style=\"font-size: 22px; line-height: 26px; letter-spacing: -0.5px; color: #042f72; font-weight: 600; padding-top: 20px;\">At Margie Petersen Breast Center, we are renowned for our patient-centric approach, evaluating breast conditions promptly and offering extensive support services.<\/p>\n<h2>Understanding and Identifying Nipple Conditions<\/h2>\n<h3 style=\"font-size:26px; line-height:30px; font-weight:500; margin-top:30px; margin-bottom:-12px\">Nipple Discharge<\/h3>\n<p>Nipple discharge, while common and often temporary, can be concerning. Most causes are benign (non-cancerous), with up to 50-80% of women experiencing it during their reproductive years. Discharge can vary in color, appearing clear, bloody, green, gray, or yellowish. Milky discharge is typically associated with pregnancy or breastfeeding and may persist afterward.<\/p>\n<p><strong>The two most common diagnoses for nipple discharge are:<\/strong><br \/>\n<figure id=\"attachment_1013\" aria-describedby=\"caption-attachment-1013\" style=\"width: 432px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2025\/03\/Intradutal-papilloma-saint-johns-cancer-institure.jpg\" alt=\"Intradutal papilloma - Saint John&#039;s Cancer Institure\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1013\" srcset=\"https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2025\/03\/Intradutal-papilloma-saint-johns-cancer-institure.jpg 864w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2025\/03\/Intradutal-papilloma-saint-johns-cancer-institure-300x213.jpg 300w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2025\/03\/Intradutal-papilloma-saint-johns-cancer-institure-768x546.jpg 768w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2025\/03\/Intradutal-papilloma-saint-johns-cancer-institure-100x71.jpg 100w\" sizes=\"(max-width: 864px) 100vw, 864px\" \/><figcaption id=\"caption-attachment-1013\" class=\"wp-caption-text\">Intradutal papilloma is a non-cancerous condition that can produce nipple discharge.<\/figcaption><\/figure><\/p>\n<ul>\n<li><strong>Duct ectasia<\/strong>: A benign condition where the milk ducts become dilated and clogged.<\/li>\n<li><strong>Intraductal papilloma<\/strong>: A non-cancerous growth within the milk ducts.<\/li>\n<\/ul>\n<p><strong>Other potential causes include:<\/strong><\/p>\n<ul>\n<li>Overstimulation of breast tissue<\/li>\n<li>Medication side effects<\/li>\n<li>Clogged ducts<\/li>\n<li>Infection<\/li>\n<li>Benign growths<\/li>\n<\/ul>\n<p>If you notice spontaneous, persistent discharge from a single area, especially if it is clear or bloody, or if it is associated with an underlying mass, please schedule an appointment with a breast specialist. A clinical breast exam and imaging will be necessary to determine the cause.<\/p>\n<h3 style=\"font-size:26px; line-height:30px; font-weight:500; margin-top:10px; margin-bottom:-6px\">Nipple Retraction<\/h3>\n<p>Nipple retraction or inversion can significantly alter the appearance of the nipple. It is important to consult a breast specialist if the retraction is associated with underlying breast abnormalities, a palpable mass, or new skin changes.<\/p>\n<p>Approximately 20% of individuals are born with inverted nipples or experience long-standing nipple inversion. In such cases, or if the nipple can be easily everted without other symptoms, the condition is generally considered normal.<\/p>\n<h3 style=\"font-size:26px; line-height:30px; font-weight:500; margin-top:10px; margin-bottom:-6px\">Nipple Skin Changes<\/h3>\n<p>Benign conditions like eczema or dermatitis can cause skin changes around the nipple. However, Paget&#8217;s disease, a rare, noninvasive type of cancer, can also present with nipple skin changes and may indicate an underlying breast mass. Your primary care provider may refer you to a dermatologist for further evaluation if needed.<\/p>\n<h3 style=\"font-size:26px; line-height:30px; font-weight:500; margin-top:10px; margin-bottom:-6px\">Nipple Masses<\/h3>\n<p>Nipple conditions may first present as nipple discharge. The most common benign lesion causing nipple discharge is an intraductal papilloma or multiple intraductal papillomas. These are masses that develop in the milk ducts, typically in women aged 35-55, composed mainly of glandular and fibrous tissue.<\/p>\n<p><figure id=\"attachment_1014\" aria-describedby=\"caption-attachment-1014\" style=\"width: 280px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2025\/03\/Nipple-Masses-Margie-Peteresent-Breast-Center.jpg\" alt=\"Nipple Masses - Margie-Peteresent Breast Center\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1014\" srcset=\"https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2025\/03\/Nipple-Masses-Margie-Peteresent-Breast-Center.jpg 712w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2025\/03\/Nipple-Masses-Margie-Peteresent-Breast-Center-300x239.jpg 300w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2025\/03\/Nipple-Masses-Margie-Peteresent-Breast-Center-100x80.jpg 100w\" sizes=\"(max-width: 712px) 100vw, 712px\" \/><figcaption id=\"caption-attachment-1014\" class=\"wp-caption-text\">Nipple masses appear as nodule in the superficial layer of the nipple.<\/figcaption><\/figure>A nipple adenoma is another rare but easily diagnosed condition presenting as a palpable nodule in the superficial layer of the nipple, sometimes causing ulceration or erosive skin changes.<\/p>\n<p>Subareolar breast abscesses are more prevalent in individuals with nipple piercings or smokers. These abscesses form due to infection and inflammation and usually respond well to antibiotics and drainage.<\/p>\n<p>The multidisciplinary team at Margie Petersen Breast Center is here to provide thorough, compassionate care. If you have any concerns, don&#8217;t hesitate to reach out and schedule an appointment. We&#8217;re dedicated to supporting you through every step of your journey.<\/p>\n<div style=\"width:100%; height:60px\">&nbsp;<\/div>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":false,"layer_icon":"","layer_icon_position":"left","layer_background_color":"","layer_id":""},{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"<h2 style=\"margin-top:30px\">What are the early warning signs of nipple conditions?<\/h2>\n<p>Early detection of nipple conditions is crucial for effective treatment and peace of mind. Here are some early warning signs to watch out for:<\/p>\n<h3 style=\"font-size:26px; line-height:30px; font-weight:500; margin-top:-10px; margin-bottom:-12px\">Nipple Discharge<\/h3>\n<ul>\n<li><strong>Spontaneous discharge<\/strong>: Occurs without squeezing the nipple.<\/li>\n<li><strong>Persistent discharge<\/strong>: Continues over time.<\/li>\n<li><strong>Single area discharge<\/strong>: Comes from one specific area in the nipple.<\/li>\n<li><strong>Clear or bloody discharge<\/strong>: May indicate a more serious condition2.<\/li>\n<\/ul>\n<h3 style=\"font-size:26px; line-height:30px; font-weight:500; margin-top:30px; margin-bottom:-12px\">Nipple Retraction<\/h3>\n<figure id=\"attachment_971\" aria-describedby=\"caption-attachment-971\" style=\"width: 400px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2024\/03\/Nipple-Inversion.jpg\" alt=\"Nipple Inversion - Signs to see a beast specialist\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-971\" srcset=\"https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2024\/03\/Nipple-Inversion.jpg 1007w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2024\/03\/Nipple-Inversion-300x218.jpg 300w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2024\/03\/Nipple-Inversion-768x558.jpg 768w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2024\/03\/Nipple-Inversion-100x73.jpg 100w\" sizes=\"(max-width: 1007px) 100vw, 1007px\" \/><figcaption id=\"caption-attachment-971\" class=\"wp-caption-text\">Sudden nipple Inversion is a likely reason to see a breast specialist.<\/figcaption><\/figure>\n<ul>\n<li><strong>New retraction<\/strong>: A nipple that suddenly pulls inward.<\/li>\n<li><strong>Associated with a mass<\/strong>: Retraction accompanied by a palpable lump2.<\/li>\n<\/ul>\n<h3 style=\"font-size:26px; line-height:30px; font-weight:500; margin-top:10px; margin-bottom:-6px\">Nipple Skin Changes<\/h3>\n<ul>\n<li><strong>Rash or redness<\/strong>: Unusual skin changes around the nipple.<\/li>\n<li><strong>Dimpling or puckering<\/strong>: Skin texture changes resembling an orange peel.<\/li>\n<li><strong>Burning or itching<\/strong>: Persistent discomfort in the nipple area3.<\/li>\n<\/ul>\n<h3 style=\"font-size:26px; line-height:30px; font-weight:500; margin-top:10px; margin-bottom:-6px\">Nipple Masses<\/h3>\n<ul>\n<li><strong>New lumps<\/strong>: Any new lump or thickening in the nipple or breast area.<\/li>\n<li><strong>Changes in existing lumps<\/strong>: A lump that feels different from the rest of the breast or changes over time2.<\/li>\n<\/ul>\n<h3 style=\"font-size:26px; line-height:30px; font-weight:500; margin-top:10px; margin-bottom:-6px\">General Breast Changes<\/h3>\n<ul>\n<li><strong>Swelling<\/strong>: Unexplained swelling in the breast or armpit.<\/li>\n<li><strong>Pain or tenderness<\/strong>: Persistent pain in the breast or nipple area2.<\/li>\n<\/ul>\n<p>If you notice any of these signs, it&#8217;s important to consult a healthcare provider for a thorough evaluation. Early detection can make a significant difference in treatment outcomes and overall health. The team at Margie Petersen Breast Center provides comprehensive and compassionate care.<\/p>\n<p style=\"font-size: 24px; line-height: 28px; letter-spacing: -0.5px; color: #042f72; font-weight: 600; padding-top: 20px;\">At the Margie Peteresen Breast Center, we are ready to support you.<\/p>\n<div style=\"width:100%; height:10px\">&nbsp;<\/div>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":false,"layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-gray-l","layer_id":""},{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"<h3 style-\"margin-top:60px\">Contact the Margie Petersen Breast Center<\/h3>\n<figure id=\"attachment_769\" aria-describedby=\"caption-attachment-769\" style=\"width: 500px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2019\/12\/Margie-Petersen-Breast-Team-1-scaled.jpg\" alt=\"Margie Petersen Breast Team\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-769\" srcset=\"https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2019\/12\/Margie-Petersen-Breast-Team-1-scaled.jpg 2560w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2019\/12\/Margie-Petersen-Breast-Team-1-300x160.jpg 300w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2019\/12\/Margie-Petersen-Breast-Team-1-1024x546.jpg 1024w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2019\/12\/Margie-Petersen-Breast-Team-1-768x410.jpg 768w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2019\/12\/Margie-Petersen-Breast-Team-1-1536x819.jpg 1536w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2019\/12\/Margie-Petersen-Breast-Team-1-2048x1092.jpg 2048w, https:\/\/www.saintjohnscancer.org\/breast\/wp-content\/uploads\/sites\/7\/2019\/12\/Margie-Petersen-Breast-Team-1-100x53.jpg 100w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><figcaption id=\"caption-attachment-769\" class=\"wp-caption-text\">The Margie Petersen Breast Center Team<\/figcaption><\/figure>\n<p style=\"font-size: 24px; line-height: 28px; letter-spacing: -0.5px; color: #042f72; font-weight: 600;\">The Margie Petersen Breast Center at Providence Saint John\u2019s Health Center is widely renown for its outstanding and compassionate patient care, expert surgical and medical team, and ability to fully evaluate any breast condition in one day.  <\/p>\n<p><a class=\"btn btn--primary\" href=\"https:\/\/www.saintjohnscancer.org\/breast\/meet-our-team\/\" target=\"_blank\" rel=\"noopener\">Meet Our Breast Health Experts<\/a><\/p>\n<p>The Breast Health Clinic can be reached at <strong><a href=\"tel:310-582-7209\">(310) 582-7209<\/a><\/strong>. If you have questions regarding a new symptom or want to make an appointment for evaluation please call and a staff member will assist with navigating you in the right direction.<\/p>\n<p><a class=\"btn btn--primary\" href=\"https:\/\/www.saintjohnscancer.org\/breast\/schedule-an-appointment\/\">Schedule an Appointment For more information<\/a><\/p>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":false,"layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-gray-l","layer_id":""},{"acf_fc_layout":"layer_featured_blog_items","layer_label":"","layer_headline":"Breast News and Health Information From Our Blog","layer_intro":"","layer_featuredblog_col_width":"quarters","layer_featuredblog_pullbycat":"blog","layer_featuredblog_selectblogcat":["breast","research"],"layer_featuredblog_selectblogauth":[],"layer_featuredblog_more_link":{"title":"READ MORE BREAST ARTICLES","url":"https:\/\/www.saintjohnscancer.org\/blog\/category\/breast\/","target":""},"layer_background_color":"bg-gray-l","layer_id":""}],"int_alt_page_title":"","int_page_description":"","int_masthead_image":false,"int_page_icon":"","int_secondary_cta_override":false,"int_secondary_cta_is_hidden":false,"header_scripts":"{\r\n    \"@context\": \"https:\/\/www.schema.org\",\r\n    \"@type\": [\r\n        \"MedicalWebPage\"\r\n    ],\r\n    \"audience\": \"http:\/\/schema.org\/Patient\",\r\n    \"url\": \"https:\/\/www.saintjohnscancer.org\/breast\/breast-health\/nipple-conditions\/\",\r\n    \"@id\": \"https:\/\/www.saintjohnscancer.org\/breast\/breast-health\/nipple-conditions\/#medicalwebpage\",\r\n    \"mainEntityofPage\": \"https:\/\/www.saintjohnscancer.org\/breast\/breast-health\/nipple-conditions\/\",\r\n    \"headline\": \"Nipple Conditions: Causes and Treatments\",\r\n    \"name\": \"Nipple Conditions Causes and Treatments | Saint John\u2019s Cancer Institute - Santa Monica, CA\",\r\n    \"description\": \"Learn about various nipple conditions such as discharge, infection, and Paget\u2019s Disease. 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\"postalCode\": \"90404\",\r\n             \"addressCountry\": \"US\",\r\n             \"addressRegion\": \"CA\",\r\n             \"streetAddress\": \"2121 Santa Monica Blvd\",\r\n             \"addressLocality\": \"Santa Monica\"\r\n          },\r\n          \"aggregateRating\": {\r\n             \"@type\": \"AggregateRating\",\r\n             \"ratingValue\": \"5.0\",\r\n             \"reviewCount\": \"4\"\r\n          },\r\n          \"review\": [\r\n             {\r\n                \"@type\": \"Review\",\r\n                \"url\": \"https:\/\/www.saintjohnscancer.org\/testimonials\/\",\r\n                \"author\": {\r\n                   \"@type\": \"Person\",\r\n                   \"name\": \"Yvonne Kalman\",\r\n                   \"address\": {\r\n                      \"@type\": \"PostalAddress\",\r\n                      \"addressLocality\": \"Santa Monica\",\r\n                      \"addressRegion\": \"CA\"\r\n                   }\r\n                },\r\n                \"dateCreated\": \"2023-08-15\",\r\n                \"reviewRating\": {\r\n                   \"@type\": \"Rating\",\r\n                   \"bestRating\": \"5\",\r\n                   \"ratingValue\": \"5\",\r\n                   \"worstRating\": \"1\"\r\n                },\r\n                \"reviewBody\": \"Saint John\u2019s Cancer Institute is exceptional in its personalized care and cutting-edge treatments.\"\r\n             },\r\n             {\r\n                \"@type\": \"Review\",\r\n                \"url\": \"https:\/\/www.saintjohnscancer.org\/testimonials\/\",\r\n                \"author\": {\r\n                   \"@type\": \"Person\",\r\n                   \"name\": \"Jann Turner\",\r\n                   \"address\": {\r\n                      \"@type\": \"PostalAddress\",\r\n                      \"addressLocality\": \"Santa Monica\",\r\n                      \"addressRegion\": \"CA\"\r\n                   }\r\n                },\r\n                \"dateCreated\": \"2020-10-01\",\r\n                \"reviewRating\": {\r\n                   \"@type\": \"Rating\",\r\n                   \"bestRating\": \"5\",\r\n                   \"ratingValue\": \"5\",\r\n                   \"worstRating\": \"1\"\r\n                },\r\n                \"reviewBody\": \"I was terrified when I arrived at the John Wayne Cancer Institute. Within minutes the tranquil environment, warm assistants and the calm and communicative doctors allayed all my fears. I can't praise this place highly enough and thank you Dr. Fischer for staying by my side through my melanoma diagnosis and the treatment, recovery and ongoing monitoring.\"\r\n             },\r\n             {\r\n                \"@type\": \"Review\",\r\n                \"url\": \"https:\/\/www.saintjohnscancer.org\/testimonials\/\",\r\n                \"author\": {\r\n                   \"@type\": \"Person\",\r\n                   \"name\": \"Alain\",\r\n                   \"address\": {\r\n                      \"@type\": \"PostalAddress\",\r\n                      \"addressLocality\": \"Santa Monica\",\r\n                      \"addressRegion\": \"CA\"\r\n                   }\r\n                },\r\n                \"dateCreated\": \"2024-10-01\",\r\n                \"reviewRating\": {\r\n                   \"@type\": \"Rating\",\r\n                   \"bestRating\": \"5\",\r\n                   \"ratingValue\": \"5\",\r\n                   \"worstRating\": \"1\"\r\n                },\r\n                \"reviewBody\": \"Saved my Life.\"\r\n             }\r\n          ],\r\n          \"knowsLanguage\": \"en\",\r\n          \"award\": \"Best Cancer Treatment Facility in Santa Monica\",\r\n          \"knowsAbout\": [\r\n             {\r\n                \"@type\": \"MedicalCondition\",\r\n                \"name\": \"Brain Tumors\",\r\n                \"sameAs\": [\r\n                   \"https:\/\/en.wikipedia.org\/wiki\/Brain_tumor\",\r\n                   \"https:\/\/www.saintjohnscancer.org\/neurosciences\/\"\r\n                ],\r\n                \"description\": \"Brain tumors are abnormal growths of cells in the brain or central nervous system, and they can be benign or malignant.\",\r\n                \"alternateName\": [\r\n                   \"Neoplasms of the Brain\",\r\n                   \"CNS Tumors\"\r\n                ]\r\n             },\r\n             {\r\n                \"@type\": \"MedicalSpecialty\",\r\n                \"name\": \"Breast Oncology\",\r\n                \"sameAs\": [\r\n                   \"https:\/\/en.wikipedia.org\/wiki\/Breast_cancer\",\r\n                   \"https:\/\/www.saintjohnscancer.org\/breast\/\"\r\n                ],\r\n                \"description\": \"Breast oncology focuses on the diagnosis, treatment, and management of breast cancer using surgery, radiation, and chemotherapy.\",\r\n                \"alternateName\": [\r\n                   \"Mammary Oncology\",\r\n                   \"Breast Cancer Treatment\"\r\n                ]\r\n             },\r\n             {\r\n                \"@type\": \"MedicalCondition\",\r\n                \"name\": \"Endocrine Tumors\",\r\n                \"sameAs\": [\r\n                   \"https:\/\/en.wikipedia.org\/wiki\/Endocrine_tumor\",\r\n                   \"https:\/\/www.saintjohnscancer.org\/endocrine\/\"\r\n                ],\r\n                \"description\": \"Endocrine tumors affect hormone-producing glands like the thyroid and adrenal glands, with both benign and malignant forms.\",\r\n                \"alternateName\": [\r\n                   \"Endocrine Neoplasms\",\r\n                   \"Hormonal Tumors\"\r\n                ]\r\n             },\r\n             {\r\n                \"@type\": \"MedicalCondition\",\r\n                \"name\": \"Gastrointestinal and Hepatobiliary Tumors\",\r\n                \"sameAs\": [\r\n                   \"https:\/\/en.wikipedia.org\/wiki\/Gastrointestinal_cancer\",\r\n                   \"https:\/\/www.saintjohnscancer.org\/gastrointestinal\/\"\r\n                ],\r\n                \"description\": \"These tumors affect the digestive system, including organs such as the liver, stomach, pancreas, and intestines.\",\r\n                \"alternateName\": [\r\n                   \"GI Tumors\",\r\n                   \"Liver and Biliary Cancer\"\r\n                ]\r\n             },\r\n             {\r\n                \"@type\": \"MedicalSpecialty\",\r\n                \"name\": \"Gynecologic Oncology\",\r\n                \"sameAs\": [\r\n                   \"https:\/\/en.wikipedia.org\/wiki\/Gynecologic_oncology\",\r\n                   \"https:\/\/www.saintjohnscancer.org\/gynecology\/\"\r\n                ],\r\n                \"description\": \"Gynecologic oncology specializes in the treatment of cancers in female reproductive organs, including cervical, endometrial, and uterine cancers.\",\r\n                \"alternateName\": [\r\n                   \"GYN Oncology\",\r\n                   \"Female Reproductive Cancer Treatment\"\r\n                ]\r\n             },\r\n             {\r\n                \"@type\": \"MedicalSpecialty\",\r\n                \"name\": \"Head and Neck Oncology\",\r\n                \"sameAs\": [\r\n                   \"https:\/\/en.wikipedia.org\/wiki\/Head_and_neck_cancer\",\r\n                   \"https:\/\/www.saintjohnscancer.org\/head-and-neck\/\"\r\n                ],\r\n                \"description\": \"Head and neck oncology deals with cancers in areas such as the throat, mouth, and larynx, using surgery, radiation, and chemotherapy.\",\r\n                \"alternateName\": [\r\n                   \"ENT Oncology\",\r\n                   \"Otolaryngologic Oncology\"\r\n                ]\r\n             },\r\n             {\r\n                \"@type\": \"MedicalCondition\",\r\n                \"name\": \"Melanoma\",\r\n                \"sameAs\": [\r\n                   \"https:\/\/en.wikipedia.org\/wiki\/Melanoma\",\r\n                   \"https:\/\/www.saintjohnscancer.org\/melanoma\/\"\r\n                ],\r\n                \"description\": \"Melanoma is a serious form of skin cancer that arises in pigment-producing cells, known for its ability to spread quickly if not treated early.\",\r\n                \"alternateName\": [\r\n                   \"Malignant Melanoma\",\r\n                   \"Skin Cancer\"\r\n                ]\r\n             },\r\n             {\r\n                \"@type\": \"MedicalSpecialty\",\r\n                \"name\": \"Thoracic Oncology\",\r\n                \"sameAs\": [\r\n                   \"https:\/\/en.wikipedia.org\/wiki\/Lung_cancer\",\r\n                   \"https:\/\/www.saintjohnscancer.org\/thoracic\/\"\r\n                ],\r\n                \"description\": \"Thoracic oncology focuses on cancers within the chest, especially lung cancer, and includes treatment options like surgery and chemotherapy.\",\r\n                \"alternateName\": [\r\n                   \"Chest Oncology\",\r\n                   \"Lung Cancer Treatment\"\r\n                ]\r\n             },\r\n             {\r\n                \"@type\": \"MedicalSpecialty\",\r\n                \"name\": \"Urology Oncology\",\r\n                \"sameAs\": [\r\n                   \"https:\/\/en.wikipedia.org\/wiki\/Urology\",\r\n                   \"https:\/\/www.saintjohnscancer.org\/urology\/\"\r\n                ],\r\n                \"description\": \"Urology oncology treats cancers affecting the urinary tract and male reproductive organs, such as prostate, bladder, and kidney cancers.\",\r\n                \"alternateName\": [\r\n                   \"Urologic Cancer Treatment\",\r\n                   \"GU Oncology\"\r\n                ]\r\n             }\r\n          ],\r\n          \"legalName\": \"Providence Saint John's Cancer Institute\",\r\n          \"brand\": {\r\n             \"@type\": \"Brand\",\r\n             \"name\": \"Providence Saint John's Cancer Institute\",\r\n             \"logo\": \"https:\/\/www.saintjohnscancer.org\/wp-content\/uploads\/2024\/06\/SJCI-Logo.png\",\r\n             \"slogan\": \"Innovative Cancer Care and Research for Every Patient\",\r\n             \"image\": \"https:\/\/www.saintjohnscancer.org\/wp-content\/uploads\/2024\/06\/SJCI-Logo.png\"\r\n          },\r\n          \"foundingDate\": \"1991\",\r\n          \"founder\": [\r\n             {\r\n                \"@type\": \"Person\",\r\n                \"name\": \"Donald Morton\",\r\n                \"url\": \"https:\/\/www.saintjohnscancer.org\/about-us\/\",\r\n                \"description\": \"In 1991, the John Wayne Cancer Institute launched a successful affiliation with Saint John\u2019s Health Center and opened in Santa Monica, California. Combined with the exceptional quality of Saint John\u2019s medical staff and hospital, a unique community-based cancer research and training institute was formed, outstanding in the areas of translational research and the treatment of solid tumors including surgical oncology, immunotherapy, chemotherapy, and radiation. Leading this remarkable charge was the late Donald L. Morton, M.D., a larger than life presence who was born in a rural, coal-mining town in West Virginia. His persistent, scientific questioning of the role of the immune system in fighting cancer led to many advances throughout his decorated career. The John Wayne Cancer Institute changed its name to Saint John\u2019s Cancer Institute on January 1, 2021.\"\r\n             }\r\n          ],\r\n          \"department\": \"Cancer Care\",\r\n          \"parentOrganization\": {\r\n             \"@type\": \"Organization\",\r\n             \"name\": \"Providence Health & Services\",\r\n             \"url\": \"https:\/\/www.providence.org\/\"\r\n          },\r\n          \"hasOfferCatalog\": {\r\n             \"@type\": \"OfferCatalog\",\r\n             \"name\": \"Cancer Treatment Services\",\r\n             \"itemListElement\": [\r\n                {\r\n                   \"@type\": \"Service\",\r\n                   \"name\": \"Breast Cancer Treatment\",\r\n                   \"description\": \"Offering advanced treatments for breast cancer, including surgery, chemotherapy, and radiation.\"\r\n                },\r\n                {\r\n                   \"@type\": \"Service\",\r\n                   \"name\": \"Gynecologic Cancer Treatment\",\r\n                   \"description\": \"Expert care for gynecologic cancers including ovarian, uterine, and cervical cancers.\"\r\n                }\r\n             ]\r\n          },\r\n          \"location\": [\r\n             {\r\n                \"@type\": \"Place\",\r\n                \"geo\": {\r\n                   \"@type\": \"GeoCoordinates\",\r\n                   \"latitude\": \"34.0379\",\r\n                   \"longitude\": \"-118.4902\"\r\n                }\r\n             }\r\n          ]\r\n       }\r\n    },\r\n\r\n\r\n\r\n \"hasPart\": [\r\n      {\r\n         \"@type\": \"WebPageElement\",\r\n         \"name\": \"Nipple Discharge\",\r\n         \"text\": \"Most causes of nipple discharge are benign. Although frightening for patients to witness, nipple discharge is very common and usually not cancerous. Up to 50-80 percent of women will experience nipple discharge in their reproductive lifetime. Nipple discharge color can appear clear, bloody, green, gray, or yellowish. Milky discharge is associated with pregnancy or breastfeeding and sometimes persists after breastfeeding ends. The two most common diagnoses for nipple discharge are duct ectasia and an intraductal papilloma, both benign conditions that should be determined by a clinician. Other causes of nipple discharge are overstimulation of the breast tissue, medication side effects, clogged ducts, infection, or benign growths. If nipple discharge is spontaneous (presents without manipulation of the breast), persistent, comes from a single area in the nipple, clear or bloody in appearance, or associated with an underlying mass, make an appointment with a breast provider so it can be evaluated by clinical breast exam and imaging.\"\r\n      },\r\n        {\r\n         \"@type\": \"WebPageElement\",\r\n         \"name\": \"Nipple Retraction\",\r\n         \"text\": \"Nipple retraction\/inversion can be worrisome. If this is a new change in your nipple appearance, associated with an abnormality on breast imaging, associated with a palpable breast mass, or associated with a new skin change speak to your medical provider immediately. Some individuals are born with an inverted nipple or have long standing nipple inversion. If this is the case or the nipple is easily everted (manipulating the nipple outward) without any other symptoms, the condition is considered normal.\"\r\n      },\r\n              {\r\n         \"@type\": \"WebPageElement\",\r\n         \"name\": \"Nipple Skin Changes\",\r\n         \"text\": \"Benign conditions, such as eczema or dermatitis, can present in this fashion and are often the reason for skin changes of the breast. Paget\u2019s disease is a rare, noninvasive cancer which involves the nipple and may indicate that a mass is present within the breast. If necessary, your provider may refer you to a dermatologist for a biopsy of the skin to determine the cause of the skin conditions.\"\r\n      },\r\n              {\r\n         \"@type\": \"WebPageElement\",\r\n         \"name\": \"Nipple Masses\",\r\n         \"text\": \"There are underlying nipple conditions that can first present as nipple discharge. The most common lesion to cause nipple discharge is an intraductal papilloma or multiple intraductal papillomas. An intraductal papilloma is a benign mass that develops in the milk ducts. They are common in women from age 35-55 and are made primarily out of gland and fibrous tissue. A rare but easily diagnosed condition is a nipple adenoma. A nipple adenoma presents as a palpable nodule in the superficial layer of the nipple and can sometimes cause an ulcer to form or the skin to look erosive. More prevalent in individuals with nipple piercings and smokers, a subareolar breast abscess forms due to infection and inflammation. Most abscesses respond well to antibiotics plus active drainage of the area either by aspiration or incision and drainage.\"\r\n      }\r\n      \r\n      ],\r\n    \"mainEntity\": {\r\n        \"@type\": \"MedicalCondition\",\r\n        \"name\": \"Nipple Conditions\",\r\n        \"sameAs\": \"https:\/\/en.wikipedia.org\/wiki\/Nipple_disease\",\r\n        \"associatedAnatomy\": {\r\n            \"@type\": \"AnatomicalStructure\",\r\n            \"name\": \"Nipple\",\r\n            \"description\": \"The nipple is a part of the breast that allows the passage of fluids and is sensitive to changes in hormonal levels, often signaling underlying breast conditions.\"\r\n        },\r\n        \"differentialDiagnosis\": [\r\n            {\r\n                \"name\": \"Paget\u2019s Disease\",\r\n                \"description\": \"A rare form of breast cancer that starts in the nipple and may cause eczema-like symptoms.\"\r\n            },\r\n            {\r\n                \"name\": \"Nipple Dermatitis\",\r\n                \"description\": \"An inflammatory condition of the nipple caused by irritation, often associated with breastfeeding or allergic reactions.\"\r\n            }],\r\n        \"code\": {\r\n            \"@type\": \"MedicalCode\",\r\n            \"codeValue\": \"C50\",\r\n            \"codingSystem\": \"ICD-10\"\r\n        },\r\n        \"signOrSymptom\": {\r\n            \"@type\": \"MedicalSignOrSymptom\",\r\n            \"name\": [\r\n                \"Nipple discharge\",\r\n                \"Nipple rash\",\r\n                \"Nipple pain\",\r\n                \"Changes in nipple appearance\"\r\n            ]\r\n        },\r\n        \"riskFactor\": [\r\n            {\r\n                \"@type\": \"MedicalRiskFactor\",\r\n                \"name\": \"Breast Cancer\",\r\n                \"sameAs\": \"https:\/\/en.wikipedia.org\/wiki\/Breast_cancer\",\r\n                \"description\": \"Nipple changes can be early signs of underlying breast cancer, especially in older women or those with a family history.\"\r\n            },\r\n            {\r\n                \"@type\": \"MedicalRiskFactor\",\r\n                \"name\": \"Infection\",\r\n                \"description\": \"Bacterial infections may cause inflammation, leading to nipple pain and discharge.\"\r\n            },\r\n            {\r\n                \"@type\": \"MedicalRiskFactor\",\r\n                \"name\": \"Breastfeeding\",\r\n                \"description\": \"Breastfeeding can cause irritation or infections in the nipple due to prolonged exposure and skin breakdown.\"\r\n            }\r\n        ],\r\n        \"possibleTreatment\": [\r\n            {\r\n                \"@type\": \"MedicalTherapy\",\r\n                \"name\": \"Antibiotics\",\r\n                \"description\": \"Used to treat bacterial infections in the nipple area.\"\r\n            },\r\n            {\r\n                \"@type\": \"MedicalTherapy\",\r\n                \"name\": \"Topical Steroids\",\r\n                \"description\": \"Applied to reduce inflammation in cases of dermatitis or eczema affecting the nipple.\"\r\n            },\r\n            {\r\n                \"@type\": \"MedicalTherapy\",\r\n                \"name\": \"Surgical Removal\",\r\n                \"description\": \"Surgery may be needed for conditions like Paget's Disease or recurrent infections.\"\r\n            }\r\n        ],\r\n        \"typicalTest\": [\r\n            {\r\n                \"@type\": \"MedicalTest\",\r\n                \"name\": \"Biopsy\",\r\n                \"description\": \"A sample of nipple tissue may be taken to test for cancer or other conditions.\",\r\n                \"sameAs\": \"https:\/\/en.wikipedia.org\/wiki\/Biopsy\"\r\n            },\r\n            {\r\n                \"@type\": \"MedicalTest\",\r\n                \"name\": \"Mammogram\",\r\n                \"description\": \"An imaging test used to check for abnormalities in the breast, including around the nipple.\",\r\n                \"sameAs\": \"https:\/\/en.wikipedia.org\/wiki\/Mammography\"\r\n            },\r\n            {\r\n                \"@type\": \"MedicalTest\",\r\n                \"name\": \"Breast Ultrasound\",\r\n                \"description\": \"A non-invasive imaging test that can help identify nipple and breast conditions.\",\r\n                \"sameAs\": \"https:\/\/en.wikipedia.org\/wiki\/Breast_ultrasound\"\r\n            }\r\n        ]\r\n    },\r\n    \"sourceOrganization\": {\r\n        \"@type\": \"Organization\",\r\n        \"name\": \"Saint John\u2019s Cancer Institute\",\r\n        \"url\": \"https:\/\/www.saintjohnscancer.org\/\"\r\n    },\r\n    \"about\":\r\n{\r\n  \"@type\": \"MedicalCondition\",\r\n  \"name\": \"Breast Cancer\",\r\n  \"sameAs\": \"https:\/\/en.wikipedia.org\/wiki\/Breast_cancer\",\r\n  \"description\": \"Breast cancer is a malignant tumor that develops from breast cells. It is one of the most common types of cancer among women globally.\",\r\n  \"alternateName\": [\"Breast Carcinoma\", \"Breast Tumor\", \"Breast Canser\", \"Cancer of the Breast\"],\r\n  \"associatedAnatomy\": {\r\n    \"@type\": \"AnatomicalStructure\",\r\n    \"name\": \"Breast\",\r\n    \"description\": \"The breast is a complex structure of fatty tissue, glands, and ducts, which is prone to developing various benign and malignant conditions.\"\r\n  },\r\n  \"differentialDiagnosis\": [\r\n    {\r\n      \"name\": \"Fibroadenoma\",\r\n      \"description\": \"A benign breast tumor made up of glandular and connective tissues. It can sometimes be mistaken for breast cancer.\"\r\n    },\r\n    {\r\n      \"name\": \"Mastitis\",\r\n      \"description\": \"Inflammation of the breast tissue, typically caused by infection, which may present with symptoms similar to breast cancer, such as swelling, pain, and redness.\"\r\n    },\r\n    {\r\n      \"name\": \"Cyst\",\r\n      \"description\": \"A fluid-filled sac within the breast, often benign but can sometimes mimic the presentation of a breast mass.\"\r\n    }\r\n  ],\r\n  \"stage\": [\r\n    \"Stage 0: Known as ductal carcinoma in situ (DCIS), where cancerous cells are confined to the ducts in the breast and have not spread.\",\r\n    \"Stage I: The tumor is up to 2 centimeters and has not spread outside the breast.\",\r\n    \"Stage II: The tumor is between 2 to 5 centimeters, or the cancer has spread to nearby lymph nodes.\",\r\n    \"Stage III: The cancer has spread to lymph nodes and possibly nearby tissue but not distant organs.\",\r\n    \"Stage IV: The cancer has spread to distant organs, such as bones, liver, lungs, or brain.\",\r\n    \"Recurrent: Cancer that has come back after treatment.\"\r\n  ],\r\n  \"code\": {\r\n    \"@type\": \"MedicalCode\",\r\n    \"codeValue\": \"C50\",\r\n    \"codingSystem\": \"ICD-10\"\r\n  },\r\n  \"signOrSymptom\": {\r\n    \"@type\": \"MedicalSignOrSymptom\",\r\n    \"name\": [\r\n      \"Lump in the breast\",\r\n      \"Change in breast size or shape\",\r\n      \"Nipple discharge, possibly bloody\",\r\n      \"Pain in the breast or nipple\",\r\n      \"Skin dimpling or puckering\",\r\n      \"Swelling in part or all of the breast\",\r\n      \"Redness or flaky skin on the breast or nipple\",\r\n      \"Nipple retraction\"\r\n    ]\r\n  },\r\n  \"riskFactor\": [\r\n    {\r\n      \"@type\": \"MedicalRiskFactor\",\r\n      \"name\": \"Family History of Breast Cancer\",\r\n      \"description\": \"A family history of breast cancer, especially in close relatives, increases the likelihood of developing breast cancer.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalRiskFactor\",\r\n      \"name\": \"BRCA1 & BRCA2 Genetic Mutation\",\r\n      \"sameAs\": \"https:\/\/en.wikipedia.org\/wiki\/BRCA_mutation\",\r\n      \"description\": \"Women with BRCA1 or BRCA2 mutations are at a significantly higher risk for developing breast and ovarian cancers.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalRiskFactor\",\r\n      \"name\": \"Hormone Replacement Therapy\",\r\n      \"sameAs\": \"https:\/\/en.wikipedia.org\/wiki\/Hormone_replacement_therapy\",\r\n      \"description\": \"Prolonged use of hormone replacement therapy (HRT), especially combination therapy, is linked to an increased risk of breast cancer.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalRiskFactor\",\r\n      \"name\": \"Obesity\",\r\n      \"sameAs\": \"https:\/\/en.wikipedia.org\/wiki\/Obesity\",\r\n      \"description\": \"Obesity, particularly after menopause, increases the risk of breast cancer.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalRiskFactor\",\r\n      \"name\": \"Alcohol Consumption\",\r\n      \"description\": \"Regular alcohol consumption increases the risk of developing breast cancer.\"\r\n    }\r\n  ],\r\n  \"possibleTreatment\": [\r\n    {\r\n      \"@type\": \"MedicalTherapy\",\r\n      \"name\": \"Surgery\",\r\n      \"description\": \"Surgical options include lumpectomy, mastectomy, and sentinel lymph node biopsy, depending on the stage and location of the tumor.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalTherapy\",\r\n      \"name\": \"Chemotherapy\",\r\n      \"description\": \"Chemotherapy is used to shrink or destroy cancer cells and may be used before surgery to reduce tumor size or after to kill remaining cells.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalTherapy\",\r\n      \"name\": \"Radiation Therapy\",\r\n      \"description\": \"Radiation therapy involves using high-energy waves to target and kill cancer cells, often used after surgery.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalTherapy\",\r\n      \"name\": \"Hormonal Therapy\",\r\n      \"description\": \"Hormonal therapy (such as Tamoxifen or aromatase inhibitors) is used to block the body\u2019s natural hormones from promoting cancer cell growth in hormone receptor-positive breast cancers.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalTherapy\",\r\n      \"name\": \"Targeted Therapy\",\r\n      \"description\": \"Targeted therapies, such as HER2 inhibitors, block the growth of cancer cells by interfering with specific molecules involved in tumor growth and progression.\"\r\n    }\r\n  ],\r\n  \"typicalTest\": [\r\n    {\r\n      \"@type\": \"MedicalTest\",\r\n      \"name\": \"Mammogram\",\r\n      \"description\": \"A mammogram is an X-ray image of the breast used to detect tumors and abnormalities, often as a screening tool for breast cancer.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalTest\",\r\n      \"name\": \"Breast 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