Great post, Reynolds. I had a similar case once - middle-aged woman with sudden brown and smelly discharge from her nipple. I knew she was thinking cancer, just as you knew with your patient. At hospital I was saying this to the nurse who got on her high horse, asking, "did she actually say that was what she was worried about?" Jeez, sometimes it's not about the words. Anyway the nurse said it was probably an infection and stuck the sobbing woman in the waiting room.