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Baitchev G., Tomov Sl., Jordanov D., Inkov I.Mammary Ductoscopy Combined with Ductal Lavage in the Patients with Pathologic Nipple Discharge.Breast Cancer: oncologic and reconstructive surgery. Interactive Course with Live Surgery.Milano, Italy

Baitchev G., Tomov Sl., Jordanov D., Inkov I.Mammary Ductoscopy Combined with Ductal Lavage in the Patients with Pathologic Nipple Discharge.

Breast Cancer: oncologic and reconstructive surgery. Interactive Course with Live Surgery.

European Institute of Oncology, 17-19 June 2013, Milano, Italy

Abstract

 

Pathologic nipple discharge (ND) is diagnosed clinically and usually managed by diagnostic duct excision.Because most ND is a result of benign processes,less-invasive,nonsurgical diagnostic modalities have been explored to reduce the need for surgical intervention.

The aim of this study to analyse the diagnostic possibilities of mammary ductoscopy combined with ductal lavage in the patients with pathologic nipple discharge.

A total of 38 patients with ND and normal mammographic and US evaluation prospective underwent ductal lavage and mammary endoscopy.We used local anastetic to induct the lacrimal dilatators ( diameter from 0.35 to 1.00 mm from which we infuse and aspirate from 7 to 18 ml 1% Lidocain and 0.9% NaCl ) through the openiting of the secreting cannal.After the ductal lavage follows endoscopy with mammary ductoscope of Karl-Storz endoscope with outside diameter of 0.89 mm.

Breast ductal lavage was performed in 45 ducts among the 38 subjects.Cellular atypia was present in 4 patients.Mammary endoscopy was performed in all 38 cases.Vizualisation beyond 2 cm of the ductal system was possible in 35/38 of specimens.There were normal lumen (10 cases),duct dilatation with inflamation ( 18 ), and intraductal lesions ( 8 cases).

Mammary ductoscopy combined with ductal lavage gives and important information which leads to target to approach for assessment and treatment of woman with pathologic nipple discharge.

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