Selective microdochectomy after ductoscopic wire marking in women with pathological nipple discharge

<p>Abstract</p> <p>Background</p> <p>To investigate the diagnostic reliability of selective microdochectomy after direct ductoscopic wire marking of suspect lesions in patients with pathological nipple discharge.</p> <p>Methods</p> <p>Selective m...

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Main Authors: Hengstmann AS, Siegmann KC, Solomayer EF, Fehm T, Hahn M, Wallwiener D, Ohlinger R
Format: Article
Language:English
Published: BMC 2009-05-01
Series:BMC Cancer
Online Access:http://www.biomedcentral.com/1471-2407/9/151
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author Hengstmann AS
Siegmann KC
Solomayer EF
Fehm T
Hahn M
Wallwiener D
Ohlinger R
author_facet Hengstmann AS
Siegmann KC
Solomayer EF
Fehm T
Hahn M
Wallwiener D
Ohlinger R
author_sort Hengstmann AS
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>To investigate the diagnostic reliability of selective microdochectomy after direct ductoscopic wire marking of suspect lesions in patients with pathological nipple discharge.</p> <p>Methods</p> <p>Selective microdochectomy due to pathological discharge was performed in 33 patients with mean age of 51.7 years. Ductoscopes of 0.9 and 1.1 mm in diameter with a channel for wire marking were used. Only patients without sonographic or mammographic correlation for the discharge were included. The pathologic mammary duct was wire marked and extirpated under direct visual guidance via the ductoscope. The histological results were compared with cytology, galactography and ductoscopy.</p> <p>Results</p> <p>In 24 out of 33 cases (72%) an intraductal, epithelial proliferation was found histologically. The following sensitivities for intraductal, epithelial proliferations could be determined: cytology 4%, galactography 74%, and ductoscopy 78%.</p> <p>Conclusion</p> <p>The method allows selective microdochectomy of the pathological duct and the intraductal proliferation under visual guidance. The resection volume can be reduced in contrast to the unselective ductectomy after injection of methylene blue.</p>
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spelling doaj.art-215734f8cbc54deea4ffd71972ccb7a02022-12-22T02:48:36ZengBMCBMC Cancer1471-24072009-05-019115110.1186/1471-2407-9-151Selective microdochectomy after ductoscopic wire marking in women with pathological nipple dischargeHengstmann ASSiegmann KCSolomayer EFFehm THahn MWallwiener DOhlinger R<p>Abstract</p> <p>Background</p> <p>To investigate the diagnostic reliability of selective microdochectomy after direct ductoscopic wire marking of suspect lesions in patients with pathological nipple discharge.</p> <p>Methods</p> <p>Selective microdochectomy due to pathological discharge was performed in 33 patients with mean age of 51.7 years. Ductoscopes of 0.9 and 1.1 mm in diameter with a channel for wire marking were used. Only patients without sonographic or mammographic correlation for the discharge were included. The pathologic mammary duct was wire marked and extirpated under direct visual guidance via the ductoscope. The histological results were compared with cytology, galactography and ductoscopy.</p> <p>Results</p> <p>In 24 out of 33 cases (72%) an intraductal, epithelial proliferation was found histologically. The following sensitivities for intraductal, epithelial proliferations could be determined: cytology 4%, galactography 74%, and ductoscopy 78%.</p> <p>Conclusion</p> <p>The method allows selective microdochectomy of the pathological duct and the intraductal proliferation under visual guidance. The resection volume can be reduced in contrast to the unselective ductectomy after injection of methylene blue.</p>http://www.biomedcentral.com/1471-2407/9/151
spellingShingle Hengstmann AS
Siegmann KC
Solomayer EF
Fehm T
Hahn M
Wallwiener D
Ohlinger R
Selective microdochectomy after ductoscopic wire marking in women with pathological nipple discharge
BMC Cancer
title Selective microdochectomy after ductoscopic wire marking in women with pathological nipple discharge
title_full Selective microdochectomy after ductoscopic wire marking in women with pathological nipple discharge
title_fullStr Selective microdochectomy after ductoscopic wire marking in women with pathological nipple discharge
title_full_unstemmed Selective microdochectomy after ductoscopic wire marking in women with pathological nipple discharge
title_short Selective microdochectomy after ductoscopic wire marking in women with pathological nipple discharge
title_sort selective microdochectomy after ductoscopic wire marking in women with pathological nipple discharge
url http://www.biomedcentral.com/1471-2407/9/151
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