This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology and breast, Subject name: Surgery
Following statements are true with respect to &;discharge of blood from nipple&; EXCEPT 
Select and explain. 
A. It is occasionally normal, B. Suggests duct papilloma, C. Suggests carcinoma breast, D. Always needs fuhur evaluation
A: It is occasionally normal
Answer: A: It is occasionally normal 
Explanation: .DUCT PAPILLOMA * Commonest cause of bloody discharge from nipple * It is usually single, from a single lactiferous duct * It blocks the duct causing ductal dilatation Clinical Features * Papilliferous swelling (projection), usually seen near the nipple orifice. * Blood stained discharge from the nipple is common. * But serous or serosanguinous discharge can also occur. * Single papilloma is not premalignant. * But multiple papillomas in many ducts can be premalignant. ref:SRB&;s manual of surgery,ed 3,pg no 466