【Abstract】Objective To evaluate the application of duct endoscopy in the diagnosis of breast diseases characterized by nipple discharge. Methods One hundred and sixtynine consecutive cases from October 2003 to September 2004 who had duct endoscopy for nipple discharge were reviewed and followed up. Results Of 169 cases, 79 ductitis, 62 intraductal papilloma, 9 intraductal carcinoma in situ, 19 without breast diseases were diagnosed under duct endoscopy. During following up, the diagnostic accuracy of intraductal papilloma and intraductal carcinoma in situ with duct endoscopy was 89.8%(44/49) and 55.6%(5/9),respectively. There was only one patient who had breast pain and mild skin redness which was cured with oral antibiotics for 3 days. Conclusion Duct endoscopy is an only technique to explore the etiology for duct discharge under vision. It is direct, safe and effective, with a high accuracy.
Citation：
LU Qing,ZENG Cuifang,HAN Qiang.. Application of Duct Endoscopy in Diagnosis of Nipple Discharge. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(6): 564-565. doi:
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1 Makita M, Sakamoto G, Akiyama F, et al. Duct endoscopy and endoscopic biopsy in the evaluation of nipple discharge
[Ｊ]. Breast Cancer Res Treat, 1991; 18(3)1792 Okazaki A, Okazaki M, Asaishi K, et al. Fiberoptic ductoscopy of the breast: a new diagnostic procedure for nipple discharge [Ｊ]. Jpn J Clin Oncol, 1991; 21(3)1883 袁建达，沈坤炜，陆劲松,等. 乳管内视镜在乳头溢液疾病中的诊治意义[Ｊ]. 上海医学， 1999； 22（1）324 王欣，施军涛，张安秦,等. 纤维乳管镜的临床应用 [Ｊ]. 中国普通外科杂志， 2000； 9（6）5415 蒋宏传，王克有，李杰,等. 乳管镜下乳管内病变的诊断及定位技术[Ｊ].肿瘤学杂志， 2002； 8（6）3266 袁永熙，沈玉琨，陆昌宜,等. 乳管内窥镜临床应用200例 [Ｊ]. 中华普通外科杂志， 2001； 16（5）2837 崔树德，李连方，刘真真. 乳管内视镜引导下手术治疗导管内乳头状瘤 [Ｊ]. 中华实用现代医学杂志， 2003； 3（16）6938 Okazaki A, Okazaki M, Hirata K, et al. Recent progress of imaging diagnosis for breast cancer: ductoscopy of the breast [Ｊ]. Jpn J Breast Cancer, 1996; 11(2)2629 柳光宇，沈坤炜，陆劲松,等. 乳管内视镜在诊断伴乳头溢液的乳腺癌中的应用 [Ｊ]. 中国癌症杂志， 2001； 11（1）35.
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- 1. 1 Makita M, Sakamoto G, Akiyama F, et al. Duct endoscopy and endoscopic biopsy in the evaluation of nipple discharge
[Ｊ]. Breast Cancer Res Treat, 1991; 18(3)1792 Okazaki A, Okazaki M, Asaishi K, et al. Fiberoptic ductoscopy of the breast: a new diagnostic procedure for nipple discharge [Ｊ]. Jpn J Clin Oncol, 1991; 21(3)1883 袁建达，沈坤炜，陆劲松,等. 乳管内视镜在乳头溢液疾病中的诊治意义[Ｊ]. 上海医学， 1999； 22（1）324 王欣，施军涛，张安秦,等. 纤维乳管镜的临床应用 [Ｊ]. 中国普通外科杂志， 2000； 9（6）5415 蒋宏传，王克有，李杰,等. 乳管镜下乳管内病变的诊断及定位技术[Ｊ].肿瘤学杂志， 2002； 8（6）3266 袁永熙，沈玉琨，陆昌宜,等. 乳管内窥镜临床应用200例 [Ｊ]. 中华普通外科杂志， 2001； 16（5）2837 崔树德，李连方，刘真真. 乳管内视镜引导下手术治疗导管内乳头状瘤 [Ｊ]. 中华实用现代医学杂志， 2003； 3（16）6938 Okazaki A, Okazaki M, Hirata K, et al. Recent progress of imaging diagnosis for breast cancer: ductoscopy of the breast [Ｊ]. Jpn J Breast Cancer, 1996; 11(2)2629 柳光宇，沈坤炜，陆劲松,等. 乳管内视镜在诊断伴乳头溢液的乳腺癌中的应用 [Ｊ]. 中国癌症杂志， 2001； 11（1）35.
