Document Detail

Scarless endoscopic papillomectomy of the breast.
MedLine Citation:
PMID:  19295246     Owner:  NLM     Status:  MEDLINE    
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.
Omer Bender; Fatih Levent Balci; Enis Yüney; Hasan Akbulut
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2009-02-13
Journal Detail:
Title:  Onkologie     Volume:  32     ISSN:  1423-0240     ISO Abbreviation:  Onkologie     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-19     Completed Date:  2009-04-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7808556     Medline TA:  Onkologie     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  94-8     Citation Subset:  IM    
Copyright Information:
Copyright 2009 S. Karger AG, Basel.
First Department of General Surgery, S. B. Okmeydani Training and Research Hospital, Istanbul, Turkey.
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MeSH Terms
Aged, 80 and over
Breast Neoplasms / pathology*,  surgery*
Cicatrix / etiology,  prevention & control*
Endoscopy / methods*
Middle Aged
Papilloma, Intraductal / pathology*,  surgery*
Surgical Procedures, Minimally Invasive / methods*
Treatment Outcome

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