Clinical application of breast fiberoptic ductoscopy in 200 cases with abnormal nipple discharge / 中国普通外科杂志

ABSTRACT

Objective This study was to evaluate breast fiberoptic ductoscopy (FDS) in the diagnosis and treatment of abnormal niple discharge(AND). [WT5”HZ]Methods [WT5”BZ] FVS 3500 superfine fiberscopy system was used to treat and diagnose 200 cases with AND. [WT5”HZ]Results [WT5”BZ] 210 orifices of nipple discharge were found in this group. FDS was successfully inserted into 204 orifices(97 0%).Early breast cancer was found in 9 cases(4 5%), papilloma and papillomatosis in 66 cases(33 0%),ductal ectasia and/or chronic inflammation in 96 cases(48 0%); “normal duct” in 29 cases(14 5%). Duct endoscopic biopsy was carried out in 10 cases. Chronic inflammation was cured by perfusion in 25 cases. 67 cases underwent surgery, diagnosis was confirmed by pathology in 95 0% with a positive rate 3 times as high as that of smear cytology.Conclusions FDS enables the evaluation on 4th ductal lumen and detection of early breast cancer. Interventional treatment was successful in some intraductal papilloma and chronic inflammatory disease.