Efforts have been made to improve minimally invasive breast surgery techniques, resulting in less tissue damage and much better cosmetic results. We evaluated the therapeutic value of a new scarless operation, endoscopic papillomectomy (EP), in patients with pathologic nipple discharge (PND). Methods:
Breast ductoscopy was performed on 126 women with PND. These patients underwent a variety of appropriate ductoscopy-assisted (DA) endosurgical interventions, combined with cytologic examinations. Success was determined by recurrence of PND and by standard radiological examinations. Results:
Ductoscopy was successfully performed in 102 patients. Of these 102 patients, 26 had solitary papillomas (SP), 5 had multiple papillomas (MP), 11 had intraductal debris, and 1 had a ductal epithelial surface abnormality with positive cytology. Of the 26 polypoid lesions (cytology negative), 22 were excised endoscopically (endoscopic papillomectomy). Patients with MP underwent DA-microdochectomy. Except in one patient, all discharges disappeared. After a mean ± SD follow-up time of 11.5 ± 5.8 months (range 2–22 months), there were no recurrences of nipple discharge and no radiological results suggestive of malignancy. Thus, the therapeutic efficacy of EP in our study was 95.4% (21/22). Conclusions:
Ductoscopy is not only a diagnostic procedure, but is also therapeutic for breast papillomas. EP is a new scarless treatment option for patients with PND.
Ömer Bender, MD, First Department of General Surgery, S. B. Okmeydanı Training and Research Hospital 34384, Istanbul, Turkey, Tel. +90 532 2342858, Fax +90 212 2217800 firstname.lastname@example.org
Published online: February 13, 2009
Number of Print Pages : 5
Onkologie (International Journal for Cancer Research and Treatment)
Vol. 32, No. 3, Year 2009 (Cover Date: March 2009)
Journal Editor: Schmoll H.-J. (Halle)
ISSN: 0378-584X (Print), eISSN: 1423-0240 (Online)
For additional information: http://www.karger.com/ONK
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