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: Anatomy
A 25 Yr old lady presents with spontaneous nipple discharge of 3 months duration. On examination the discharge is bloody and from a single duct. The following statements about management of this patient are true except 
Select and explain. 
A. Ultrasound can be useful investigation, B. Radical duct excision is the operation of choice, C. Galactogram, though useful is not essential, D. Majority of blood stained nipple discharges are due to papilloma or other benign condition
B: Radical duct excision is the operation of choice
Answer: B: Radical duct excision is the operation of choice 
Explanation: Treatment Treatment must firstly be to exclude a carcinoma by occult blood test and cytology. Simple reassurance may then be sufficient but, if the discharge is proving intolerable, an operation to remove the affected duct or ducts can be performed (micro-dochectomy). Ref: Bailey and love 27th edition Pg no : 865