The role of major duct excision and microdochectomy in the detection of breast carcinoma
<p>Abstract</p> <p>Background</p> <p>The association of nipple discharge with breast carcinoma has resulted in numerous women undergoing exploratory surgery to exclude malignancy. The aim of this study was to determine whether pre-operative factors can identify those pa...
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| Format: | Article |
| Language: | English |
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BMC
2006-06-01
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| Series: | BMC Cancer |
| Online Access: | http://www.biomedcentral.com/1471-2407/6/164 |
| _version_ | 1818365799379763200 |
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| author | Evoy Denis McDermott Enda W Nasir Shaaira Mohd Nazri Shah R Dillon Mary F Crotty Thomas B O'Higgins Niall Hill Arnold DK |
| author_facet | Evoy Denis McDermott Enda W Nasir Shaaira Mohd Nazri Shah R Dillon Mary F Crotty Thomas B O'Higgins Niall Hill Arnold DK |
| author_sort | Evoy Denis |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>The association of nipple discharge with breast carcinoma has resulted in numerous women undergoing exploratory surgery to exclude malignancy. The aim of this study was to determine whether pre-operative factors can identify those patients that are most at risk of carcinoma.</p> <p>Methods</p> <p>All patients over a 14-year period (1991–2005) who had a microdochectomy or subareolar exploration for the evaluation of nipple discharge were assessed. Patient characteristics, pre-operative imaging and pathological findings were analysed.</p> <p>Results</p> <p>Of the 211 patients included in this study, 116 patients had pathological (unilateral, uniductal serous or bloody) discharge. On excision, 6% (n = 7) of patients with pathological discharge and 2.4% (n = 2) of patients with non-pathological discharge were diagnosed with carcinoma. Overall, major duct excision resulted in the diagnosis of carcinoma in 4.3% (n = 9), ADH/LCIS in 4% (n = 8), papilloma in 39% (n = 83), and duct ectasia or non-specific benign disease in 53% (n = 111) of patients. In the patients determined to have malignancy, 44% (n = 4) were premenopausal. No patient with a non-bloody discharge in the total population analysed (28%; n = 59/211), or in the population with a pathological discharge (21%; n = 24/116) was found to have carcinoma upon excision.</p> <p>Conclusion</p> <p>Microdochectomy or major duct excision performed for nipple discharge resulted in a low rate of malignancy on excision. Conservative management of non-bloody nipple discharge can be considered in patients with no other clinical or radiological signs of malignancy.</p> |
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| institution | Directory Open Access Journal |
| issn | 1471-2407 |
| language | English |
| last_indexed | 2024-12-13T22:26:00Z |
| publishDate | 2006-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj.art-e539b6ff9dc84123a78dc364c86c20a42022-12-21T23:29:13ZengBMCBMC Cancer1471-24072006-06-016116410.1186/1471-2407-6-164The role of major duct excision and microdochectomy in the detection of breast carcinomaEvoy DenisMcDermott Enda WNasir ShaairaMohd Nazri Shah RDillon Mary FCrotty Thomas BO'Higgins NiallHill Arnold DK<p>Abstract</p> <p>Background</p> <p>The association of nipple discharge with breast carcinoma has resulted in numerous women undergoing exploratory surgery to exclude malignancy. The aim of this study was to determine whether pre-operative factors can identify those patients that are most at risk of carcinoma.</p> <p>Methods</p> <p>All patients over a 14-year period (1991–2005) who had a microdochectomy or subareolar exploration for the evaluation of nipple discharge were assessed. Patient characteristics, pre-operative imaging and pathological findings were analysed.</p> <p>Results</p> <p>Of the 211 patients included in this study, 116 patients had pathological (unilateral, uniductal serous or bloody) discharge. On excision, 6% (n = 7) of patients with pathological discharge and 2.4% (n = 2) of patients with non-pathological discharge were diagnosed with carcinoma. Overall, major duct excision resulted in the diagnosis of carcinoma in 4.3% (n = 9), ADH/LCIS in 4% (n = 8), papilloma in 39% (n = 83), and duct ectasia or non-specific benign disease in 53% (n = 111) of patients. In the patients determined to have malignancy, 44% (n = 4) were premenopausal. No patient with a non-bloody discharge in the total population analysed (28%; n = 59/211), or in the population with a pathological discharge (21%; n = 24/116) was found to have carcinoma upon excision.</p> <p>Conclusion</p> <p>Microdochectomy or major duct excision performed for nipple discharge resulted in a low rate of malignancy on excision. Conservative management of non-bloody nipple discharge can be considered in patients with no other clinical or radiological signs of malignancy.</p>http://www.biomedcentral.com/1471-2407/6/164 |
| spellingShingle | Evoy Denis McDermott Enda W Nasir Shaaira Mohd Nazri Shah R Dillon Mary F Crotty Thomas B O'Higgins Niall Hill Arnold DK The role of major duct excision and microdochectomy in the detection of breast carcinoma BMC Cancer |
| title | The role of major duct excision and microdochectomy in the detection of breast carcinoma |
| title_full | The role of major duct excision and microdochectomy in the detection of breast carcinoma |
| title_fullStr | The role of major duct excision and microdochectomy in the detection of breast carcinoma |
| title_full_unstemmed | The role of major duct excision and microdochectomy in the detection of breast carcinoma |
| title_short | The role of major duct excision and microdochectomy in the detection of breast carcinoma |
| title_sort | role of major duct excision and microdochectomy in the detection of breast carcinoma |
| url | http://www.biomedcentral.com/1471-2407/6/164 |
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