【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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Copyright ? the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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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 袁建達，沈坤煒，陸勁松,等. 乳管內視鏡在乳頭溢液疾病中的診治意義[Ｊ]. 上海醫學， 1999； 22（1）324 王欣，施軍濤，張安秦,等. 纖維乳管鏡的臨床應用 [Ｊ]. 中國普通外科雜志， 2000； 9（6）5415 蔣宏傳，王克有，李杰,等. 乳管鏡下乳管內病變的診斷及定位技術[Ｊ].腫瘤學雜志， 2002； 8（6）3266 袁永熙，沈玉琨，陸昌宜,等. 乳管內窺鏡臨床應用200例 [Ｊ]. 中華普通外科雜志， 2001； 16（5）2837 崔樹德，李連方，劉真真. 乳管內視鏡引導下手術治療導管內乳頭狀瘤 [Ｊ]. 中華實用現代醫學雜志， 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，沈坤煒，陸勁松,等. 乳管內視鏡在診斷伴乳頭溢液的乳腺癌中的應用 [Ｊ]. 中國癌癥雜志， 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 袁建達，沈坤煒，陸勁松,等. 乳管內視鏡在乳頭溢液疾病中的診治意義[Ｊ]. 上海醫學， 1999； 22（1）324 王欣，施軍濤，張安秦,等. 纖維乳管鏡的臨床應用 [Ｊ]. 中國普通外科雜志， 2000； 9（6）5415 蔣宏傳，王克有，李杰,等. 乳管鏡下乳管內病變的診斷及定位技術[Ｊ].腫瘤學雜志， 2002； 8（6）3266 袁永熙，沈玉琨，陸昌宜,等. 乳管內窺鏡臨床應用200例 [Ｊ]. 中華普通外科雜志， 2001； 16（5）2837 崔樹德，李連方，劉真真. 乳管內視鏡引導下手術治療導管內乳頭狀瘤 [Ｊ]. 中華實用現代醫學雜志， 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，沈坤煒，陸勁松,等. 乳管內視鏡在診斷伴乳頭溢液的乳腺癌中的應用 [Ｊ]. 中國癌癥雜志， 2001； 11（1）35.
