| Scarless endoscopic papillomectomy of the breast. | |
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MedLine Citation:
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PMID: 19295246 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Efforts have been made to improve minimally invasive breast surgery techniques, resulting in less tissue damage and much better cosmetic results. We evaluated the therapeutic value of a new scarless operation, endoscopic papillomectomy (EP), in patients with pathologic nipple discharge (PND). METHODS: Breast ductoscopy was performed on 126 women with PND. These patients underwent a variety of appropriate ductoscopy-assisted (DA) endosurgical interventions, combined with cytologic examinations. Success was determined by recurrence of PND and by standard radiological examinations. RESULTS: Ductoscopy was successfully performed in 102 patients. Of these 102 patients, 26 had solitary papillomas (SP), 5 had multiple papillomas (MP), 11 had intraductal debris, and 1 had a ductal epithelial surface abnormality with positive cytology. Of the 26 polypoid lesions (cytology negative), 22 were excised endoscopically (endoscopic papillomectomy). Patients with MP underwent DA-microdochectomy. Except in one patient, all discharges disappeared. After a mean +/- SD follow-up time of 11.5 +/- 5.8 months (range 2-22 months), there were no recurrences of nipple discharge and no radiological results suggestive of malignancy. Thus, the therapeutic efficacy of EP in our study was 95.4% (21/22). CONCLUSIONS: Ductoscopy is not only a diagnostic procedure, but is also therapeutic for breast papillomas. EP is a new scarless treatment option for patients with PND. |
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Authors:
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Omer Bender; Fatih Levent Balci; Enis Yüney; Hasan Akbulut |
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Publication Detail:
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Type: Clinical Trial; Journal Article Date: 2009-02-13 |
Journal Detail:
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Title: Onkologie Volume: 32 ISSN: 1423-0240 ISO Abbreviation: Onkologie Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-03-19 Completed Date: 2009-04-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7808556 Medline TA: Onkologie Country: Switzerland |
Other Details:
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Languages: eng Pagination: 94-8 Citation Subset: IM |
Copyright Information:
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Copyright 2009 S. Karger AG, Basel. |
Affiliation:
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First Department of General Surgery, S. B. Okmeydani Training and Research Hospital, Istanbul, Turkey. omerbender@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Breast Neoplasms / pathology*, surgery* Cicatrix / etiology, prevention & control* Endoscopy / methods* Female Humans Middle Aged Papilloma, Intraductal / pathology*, surgery* Surgical Procedures, Minimally Invasive / methods* Treatment Outcome |
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