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Erschienen in: Breast Cancer 2/2014

01.03.2014 | Original Article

Diagnostic and therapeutic value of ductoscopy in nipple discharge and intraductal proliferations compared with standard methods

verfasst von: Sedat Kamali, Omer Bender, Gülcin Harman Kamali, Mehmet Timucin Aydin, Oguzhan Karatepe, Enis Yuney

Erschienen in: Breast Cancer | Ausgabe 2/2014

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Abstract

Background

Fiberoptic ductoscopy is a practical and direct approach that allows the visualization of intraductal breast disease. The aim of this study was to assess the efficacy of ductoscopy in the diagnosis and management of intraductal lesions.

Methods

Data on 357 ductoscopic investigations from patients with nipple discharge were collected prospectively. Seventy-five patients were diagnosed as having intraductal papillary lesions and these cases were evaluated by final histopathology (55 solitary, 14 multiple papillomatosis, 6 premalignant or malignant lesions). Results of classical diagnostic studies using ultrasonography, mammography, and galactography were compared with those of ductoscopy and pathology.

Results

The sensitivities of investigation methods for papillomas in this study were 72 % in ultrasonography, 62.9 % in mammography, 81.4 % in galactography, and 86.6 % in ductoscopy. With ductoscopic papillomectomy (DP), almost 30 % of patient with solitary papilloma did not require further extensive surgery.

Conclusion

Since there is an increased risk of malignancy, surgical excision is recommended for multiple, larger papillomas and for papillomas with atypia and in addition for papillomas where diagnostic tools produce suspicious findings. On the other hand DP is a minimally invasive intervention and can aid in the follow-up of lesions proven to have no atypia.
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Metadaten
Titel
Diagnostic and therapeutic value of ductoscopy in nipple discharge and intraductal proliferations compared with standard methods
verfasst von
Sedat Kamali
Omer Bender
Gülcin Harman Kamali
Mehmet Timucin Aydin
Oguzhan Karatepe
Enis Yuney
Publikationsdatum
01.03.2014
Verlag
Springer Japan
Erschienen in
Breast Cancer / Ausgabe 2/2014
Print ISSN: 1340-6868
Elektronische ISSN: 1880-4233
DOI
https://doi.org/10.1007/s12282-012-0377-7

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