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《Journal of Surgery Concepts & Practice》 2006-02
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Clinical value of fiberoptic ductoscopy in the diagnosis and treatment of patients with nipple discharge

ZHOU Jian,ZOU Qiang,WANG Hong-ying,GU fei,YUAN Wei,WANG Xing-hai,REN Chang-cai.Department of Surgery,Huashan Hospital,Shanghai Medical College,Fudan University,Shanghai 200040,China  
Objective To evaluate the clinical value of fiberoptic ductoscopy in the diagnosis and treatment of patients with nipple discharge.Methods From March 1999 to June 2005,a total of 2 608 patients with of nipple discharge were submitted to fiberoptic ductoscopic examination.The relationship between the nipple discharge colors,examination results and pathological results were analyzed.Results Of the nipple discharge colors in 2 608 cases,the ivory milky was in 97 cases,colorless in 563 cases,yellow in 1 075 cases,and bloody in 873 cases.Pathologically,there were 361 cases of mammary duct ectasia,596 cases of chronic inflammation,1 609 cases of intraductal papilloma,and 42 cases of breast carcinoma.And 1 444 cases were operated upon in the total group.As compared with the result of surgical pathology,the accuracy of the fiberoptic ductoscopic examination is 78.09% in intraductal papilloma and 90% in breast carcinoma.Conclusions Fiberoptic ductoscopy is a noninvasive and novel diagnosing method for patients with nipple discharge.It is especially indicated in patients with colorless,bloody or yellow discharge.
【CateGory Index】: R655.8
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