Interventional ductoscopy in patients with pathological nipple discharge. BJS 2015; 102: 1639-1648.
Published: 8th October 2015
Authors: L. Waaijer, P. J. van Diest, H. M. Verkooijen, N.‐E. Dijkstra, C. C. van der Pol, I. H. M. Borel Rinkes et al.
Surgery is the intervention of choice for definitive diagnosis and treatment in women with pathological nipple discharge (
A prospective study on ductoscopy was conducted in consecutive patients with
Ductoscope introduction was successful in 71 (87 per cent) of 82 patients, with abnormalities visualized in 53 (65 per cent); these were mostly polypoid lesions (29 patients). The lesion was removed in 27 of 34 attempted ductoscopic extractions. Twenty‐six (32 per cent) of the 82 patients underwent surgery, whereas surgery was avoided in 56 (68 per cent). After a median follow‐up of 17 (range 3–45) months, 40 patients (49 per cent) no longer experienced symptoms of
Interventional ductoscopy is technically feasible and may help to avoid surgery in the majority of patients. As endoscopic removal of intraductal lesions is not always possible and malignancy can be the underlying cause of
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