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BMC Cancer
Published in: BMC Cancer 1/2009

Open Access 01-12-2009 | Research article

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

Authors: M Hahn, T Fehm, EF Solomayer, KC Siegmann, AS Hengstmann, D Wallwiener, R Ohlinger

Published in: BMC Cancer | Issue 1/2009

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Abstract

Background

To investigate the diagnostic reliability of selective microdochectomy after direct ductoscopic wire marking of suspect lesions in patients with pathological nipple discharge.

Methods

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.

Results

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%.

Conclusion

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.
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Metadata
Title
Selective microdochectomy after ductoscopic wire marking in women with pathological nipple discharge
Authors
M Hahn
T Fehm
EF Solomayer
KC Siegmann
AS Hengstmann
D Wallwiener
R Ohlinger
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2009
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/1471-2407-9-151

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