13 yrs female breast bloody nipple discharge

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DDs : Traumatic injury.Duct ectasia.*Mastitis. Intraductal papillary lesions.Infiltrations by Hematolymphoid malignancy.Advised USG/Mammographic evaluation,Family history, FNAC/Bx /IHC.
Causes Duct ectesia Rull out ducts carcinoma Duct papilloma Traumatic injury Purulant mastitis