Ductoscopy: a new technique for ductal exploration

Berná, Juan D.; Garcia-Medina, Vicente; Kuni, Christopher C.

doi:10.1016/0720-048x(91)90112-9

Cited by 33 publications

(20 citation statements)

References 8 publications

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“…With the efforts of researchers in the early 1990s, direct endoluminal visualization of the breast ducts has become possible [3]. In contrast to the initial rigid ductoscopes with a diameter of more than 1.5 mm, rapidly developing technology has given us the opportunity to use fiberoptic ductoscopes with smaller diameters (0.55-1.1 mm) [4].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Ductoscopy, Galactography, and Imaging Modalities for the Evaluation of Intraductal Lesions: A Critical Review

Sarıca¹,

Öztürk²,

Demirkurek

et al. 2013

Breast Care

277

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Background: Today, in cases of nipple discharge of unclear origin, the abundance of diagnostic procedures - a ‚diagnostic dilemma' - becomes apparent, because unequivocal indications and a current, standardized examination sequence are presently not available. The diagnostic workup of patients with nipple discharge usually includes the clinical history, physical examination, mammography, ultrasonography, galactography, and nipple discharge cytology, but not ductoscopy. Methods: In this review we analyze and discuss the possible role of ductoscopy in evaluating intraductal pathologies and its combined use with diagnostic imaging modalities. For this purpose, we reviewed and compared the results of the radiological, pathological, and surgical studies independently. Conclusions: Currently, there is no solitary accurate modality to reach our definitive purpose. Being aware of the capability of each diagnostic modality may take us closer to our target. Therefore, adjunct and appropriate use of multiple imaging modalities and ductoscopy is necessary to evaluate patients with nipple discharge.

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Section: Introductionmentioning

confidence: 99%

Comparison of Ductoscopy, Galactography, and Imaging Modalities for the Evaluation of Intraductal Lesions: A Critical Review

Sarıca¹,

Öztürk²,

Demirkurek

et al. 2013

Breast Care

277

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“…The intraductal approach does not destroy the ductal structure and does not cause needle tract dissemination. Since the first report of the MS procedure [1], the usefulness of MS and IDBB have been reported [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. MS enabled direct observation of abnormal branches and lesions.…”

Section: Discussionmentioning

confidence: 99%

“…Mammography and sonography are useful modalities for breast cancer screening but are not sensitive in detecting ductal lesions in the absence of any tumor image and calcifications. Mammary ductendoscopy (MS) was employed to detect intraductal lesions [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] and intraductal breast biopsy (IDBB) was also used to obtain pathological diagnoses in intraductal lesions with nipple discharge [2,3,6,10,11]. In addition, the utility of nipple aspiration and ductal lavage in identifying a high risk level for breast cancer have been reported [19][20][21] since abnormal cytology in nipple discharge was reported as a breast cancer risk [22,23].…”

Section: Introductionmentioning

confidence: 99%

Intraductal approach to the detection of intraductal lesions of the breast

Matsunaga

Misaka

Hosokawa

et al. 2008

Breast Cancer Res Treat

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Bloody nipple discharge is a clue in the detection of ductal carcinoma of the breast that do not display a mass. Since sensitivity of discharge cytology is not sufficiently high and mammary ductendoscopy (MS) contributes to the diagnosis of intraductal lesions. We set out to determine whether the intraductal approach is effective for detection of ductal carcinoma. We performed 445 MS procedure in 323 patients who had nipple discharge but no overt mass. The diagnostic accuracy rates of discharge cytology and intraductal breast biopsy (IDBB) were studied in detecting malignancy. The therapeutic value of IDBB for intraductal papillomas was studied in 73 patients. Out of 323 patients, 80 had breast cancer and 155 had intraductal papilloma. MS detected intraductal tumors in 47 cases (58.8%). IDBB was performed in 35 of these 47 cases. The sensitivity was 37.1% by touch cytology, 68.6% by IDBB, and 82.8% by directed ductal lavage cytology. Of the 73 intraductal papilloma patients who were followed for more than 3 years, the therapeutic effectiveness of IDBB was recognized in 57 (78.1%). Directed ductal lavage cytology was the most sensitive method in detecting malignancy. MS and IDBB were benefit in the treatment of intraductal papilloma.

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“…[5][6][7][8][9][10][11] Ductoscopy of the breast was initially performed utilizing a rigid scope. [5][6][7][8] The earlier attempts were constrained by limited optics, large-caliber scopes, and lack of working channels for insufflation and biopsy under direct visualization. [5][6][7][8] Furthermore, the images generated by the earlier scopes were too small and imprecise to allow accurate clinical judgment.…”

Section: Large Ductsmentioning

confidence: 99%

Mammary ductoscopy: past, present, and future

Pereira

Mokbel

2004

Int J Clin Oncol

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Mammary ductoscopy (MD) allows direct visual access to the mammary ducts, using fiberoptic microendoscopes inserted through the ductal opening onto the nipple surface. Therefore it has a potential role in the diagnosis and treatment of intraductal breast disease. This article describes the anatomy of the mammary ductal system, the early beginnings of MD, its ongoing evolution, and the need for further development for its future usage in increasing clinical indications. MD is a useful diagnostic adjunct in patients with pathological nipple discharge (PND) and can guide duct excision surgery. However, its potential use in the early detection of breast cancer, in guiding breast-conserving surgery (BCS) for cancer, and in the therapeutic ablation of intraductal disease, as well as in guiding risk-reducing strategies among high-risk women, requires further research and evaluation. The development of a biopsy kit that obtains adequate microbiopsy samples for histological diagnosis under direct visualization will enhance the use of this technique by breast surgeons and radiologists. Future developments also include combining MD with molecular diagnostic markers and optical biopsy systems for the diagnosis of premalignant and early malignant disease, and combining MD with radiofrequency for curative ablation of intraductal lesions.

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Ductoscopy: a new technique for ductal exploration

Cited by 33 publications

References 8 publications

Comparison of Ductoscopy, Galactography, and Imaging Modalities for the Evaluation of Intraductal Lesions: A Critical Review

Comparison of Ductoscopy, Galactography, and Imaging Modalities for the Evaluation of Intraductal Lesions: A Critical Review

Intraductal approach to the detection of intraductal lesions of the breast

Mammary ductoscopy: past, present, and future

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