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Microdochectomy for single-duct discharge from the nipple.
A P Locker1, M H Galea, I O Ellis
1Nottingham City Hospital, UK.
The British Journal of Surgery
|July 1, 1988
Summary
Routine microdochectomy for single-duct nipple discharge may be omitted in cases with normal mammograms. Some ductal carcinoma in situ cases were missed by mammography, but expectant management is suggested for normal mammograms.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Single-duct nipple discharge is commonly treated with microdochectomy.
- Ductal carcinoma in situ (DCIS) can present as nipple discharge.
Purpose of the Study:
- To evaluate the efficacy of microdochectomy for single-duct nipple discharge.
- To determine the incidence of ductal carcinoma in situ in patients undergoing microdochectomy for nipple discharge.
- To assess the role of mammography in diagnosing DCIS presenting as nipple discharge.
Main Methods:
- Retrospective review of 97 patients undergoing microdochectomy for single-duct nipple discharge between 1980 and 1987.
- Analysis of pre-operative mammography results in patients diagnosed with DCIS.
Main Results:
- Eight out of 97 patients (8.2%) were diagnosed with ductal carcinoma in situ.
- Six of these eight patients had suspicious mammograms.
- Two patients with normal mammograms were found to have tiny foci of DCIS.
Conclusions:
- Mammography may not detect all cases of ductal carcinoma in situ presenting as nipple discharge.
- An expectant management policy, rather than routine microdochectomy, may be appropriate for patients with single-duct nipple discharge and normal mammograms.