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Identification of breast cancer in patients with pathologic nipple discharge: does ductoscopy predict malignancy?
Louie, Lana D; Crowe, Joseph P; Dawson, Andrea E; Lee, Katherine B; Baynes, Deborah L; Dowdy, Tami; Kim, Julian A.
Afiliación
  • Louie LD; Department of Surgery, The Cleveland Clinic, Cleveland, OH 44106-5047, USA.
Am J Surg ; 192(4): 530-3, 2006 Oct.
Article en En | MEDLINE | ID: mdl-16978968
OBJECTIVE: The purpose of the current study was to review characteristics of patients with nipple discharge who underwent ductoscopy-assisted excisional biopsy who had a final diagnosis of carcinoma. METHODS: A retrospective review was performed of patients presenting with pathologic nipple discharge (PND) who underwent ductoscopy-assisted excisional biopsy and had a final diagnosis of carcinoma. RESULTS: A total of 14 (7%) of 188 patients who underwent ductoscopy-assisted excision had a final pathology of ductal carcinoma-in-situ (DCIS) (12/14, 86%) or invasive breast cancer with DCIS (2/14, 14%). Duct wall irregularities or intraluminal growths were visualized during ductoscopy in 8 of the 14 (57%) breast cancer patients. There were no visual abnormalities noted during ductoscopy that accurately predicted a final diagnosis of malignancy. CONCLUSIONS: Although occult malignancies can be identified in patients undergoing ductoscopy-assisted biopsy for PND, no clear morphologic changes visualized during ductoscopy definitively indicated the presence of malignancy.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Adenocarcinoma / Glándulas Mamarias Humanas / Endoscopía / Exudados y Transudados / Pezones Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Female / Humans Idioma: En Revista: Am J Surg Año: 2006 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Adenocarcinoma / Glándulas Mamarias Humanas / Endoscopía / Exudados y Transudados / Pezones Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Female / Humans Idioma: En Revista: Am J Surg Año: 2006 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos