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[Fiberoptic ductoscopy for patients with intraductal papillary lesions]
1Department of Surgery, Cancer Hospital, Shanghai Medical University, Shanghai 200032, China.
Objective:
To investigate the clinical significance of fiberoptic ductoscopy in patients with intraductal papillary lesions.
Methods:
Fiberoptic ductoscopy was applied to patients with nipple discharge. The characteristics of those with intraductal papillary lesion were analysed.
Results:
92 patients were found to have intraductal papillary lesions. 68 patients were revealed to have single papillomas and 21 multiple papilloma. Three patients were diagnosed with papillomatosis. A total of 114 lesions were observed. 29.8% of these lesions were located in the segmental duct. 43.9% lesions were located in the first branch of the segmental duct and 17.5% in the second branch. Only 7.9% and 0.9% lesions were located in the third and the fourth branch. The average distance from lacteous pore to papillary lesion was 2.7 cm. Fiberoptic ductoscopy did not find lesions in 5 patients.
Conclusions:
Fiberoptic ductoscopy can be used to diagnose and locate intraductal papillary lesions. It is an effective diagnostic method for nipple discharge.