Rare Male Black Nipple Discharge Video - Looking for comments on viewability

[DrBermant]

In preparaing for an upcoming lecture I am giving at the Clinical Endocrinology National Meeting, I have posted a rare Video of Male Black Nipple Discharge. When reviewing what I was presenting, the endocrinologist I am working with for the presentation asked that I use this video to stimulate discussion at my forum since she had also never seen this problem in a male patient.

I took the video for a male patient who had a repeatable Black Nipple Discharge during my normal gynecomastia  evaluation. I work with up to 8 gynecomastia patients each day.  I have been helping gynecomastia patients since I was a medical student which was more than 34 years ago. I have seen quite a few cases of milk, clear fluid and an unusual case of pus from an infected nipple breast on a man. Yet I have never seen, read about, or heard of this very dark green to black fluid coming from a male breast.  The many pathologists who looked at the smears also had not seen such a condition, but they did not find old blood, just cellular debris.  They had seen dark fluid in breast tissue from female breasts.  The discharge was most likely a rare Male Ductal Ectasia. 

The video is really neat showing the black color streaming probably from one duct after gentle breast compression.  Nipple discharge is a Red Flag, and needs to be worked up before elective Plastic Surgery.

I am looking to check if the videos can be viewed.  I posted a QuickTime, Windows Media Video, Flash, and iPod MP4 player version to cover all bases.  Comments would be appreciated.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture

[GynO_DuDe]

All videos/every format works fine on my laptop.

The actual video itself I found quite disturbing! Gynecomastia is a nightmare on it's own ... but releasing fluids would be ten times worse.

Thats my view on it any way!

[Audreyi]

Links were viewed with no problem.

Thank you for the post I have been doing a significant amount of research and reading on the male breast due to my son presenting with unilateral gynecomastia at 6 yoa.  I imagine the cellular fluid sample was sent to pathology and the patient also sent for ultrasound for inspection of any masses.  I have experienced unilateral pressure discharge from the same duct for the last 12 years and told not to worry about it.  Four years after I discovered it a new obgyn did take a sample and thankfully there was no infection so I don't worry about it but still have it (no one ever checked my hormones) .  I am curious if male discharge also remains persistent and how long ago your patient discovered it.  Dark discharge would truly frighten me.  I know that surgeons sometimes remove the duct in women with persistent discharge and I wonder if it persists in men would it qualify for insurance companies to approve removal of the gland and lypo as reconstructive surgery and not cosmetic?   

[The_G0rn]

Videos worked find for me. 

This chap is obviously an alien of some sort, perhaps a Vulcan, or maybe a Martian.

[matthew1]

 Poor guy, imagine looking  down and seeing that

   

[outertrial]

The video is really neat showing the black color streaming probably from one duct after gentle breast compression.

Sorry Dr B but No WAY I am clicking on that link.

I could never have gone into medicine.

[Grandpa Bambu]

Ha.... pussies!   

GB

[matthew1]

The video is really neat showing the black color streaming probably from one duct after gentle breast compression.

Sorry Dr B but No WAY I am clicking on that link.

I could never have gone into medicine.

whats wrong , never seen  A1 sauce  come out of a mans  breast before?

[Grandpa Bambu]

The video is really neat showing the black color streaming probably from one duct after gentle breast compression.

Sorry Dr B but No WAY I am clicking on that link.

I could never have gone into medicine.

whats wrong , never seen  A1 sauce  come out of a mans  breast before?