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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: May 8, 2026

Intraductal Delivery to the Rabbit Mammary Gland
06:30

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Published on: March 9, 2017

Interventional ductoscopy for pathological nipple discharge.

Fatih Levent Balci1, Sheldon Marc Feldman

  • 1Division of Breast Surgery, Columbia University College of Physicians and Surgeons, New York, NY, USA. flb2111@columbia.edu

Annals of Surgical Oncology
|August 27, 2013
PubMed
Summary
This summary is machine-generated.

Ductoscopic retrieval of solitary papilloma is a feasible and therapeutic option for pathologic nipple discharge (PND). This minimally invasive approach offers an alternative to duct excision for benign papillary lesions.

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Last Updated: May 8, 2026

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Area of Science:

  • Minimally invasive surgery
  • Gastroenterology
  • Surgical oncology

Background:

  • Pathologic nipple discharge (PND) often necessitates duct excision, despite a low malignancy risk.
  • Intraductal papilloma is the most common cause of PND.
  • Current recommendations involve duct excision for PND, even with low malignancy likelihood.

Purpose of the Study:

  • To assess the feasibility and therapeutic value of ductoscopic retrieval of solitary papillomas in patients with PND.
  • To evaluate ductoscopy as an alternative to traditional duct excision.

Main Methods:

  • Ductoscopic exploration was performed on consented patients with PND, excluding those with palpable masses or suspicious imaging.
  • A 1.1 mm flexible scope (LaDuScope-T flex) with a microbasket allowed papilloma extraction.
  • Patients with sessile papillomas or failed extraction underwent ductoscopically guided microductectomy.

Main Results:

  • Two patients with nonsessile papillomas had successful ductoscopic extraction (30-35 min procedure time).
  • One patient with a sessile papilloma underwent successful microductectomy.
  • No recurrence of discharge or malignancy was observed in patients after a 5-year follow-up.

Conclusions:

  • Interventional ductoscopy offers an incisionless therapeutic option for PND caused by nonsessile papillary lesions.
  • This technique provides a minimally invasive alternative for diagnosing and treating benign papillary lesions causing PND.