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[Abnormal Nipple Discharge].
Daigo Yamamoto1, Tsukuru Chiba, Mariko Ishizuka
1Dept. of Surgery, Kansai Medical University.
Microdochectomy using indocyanine green (ICG) fluorescence imaging aids breast cancer surgery for nipple discharge. This technique helps surgeons precisely target affected milk ducts, improving treatment outcomes.
Area of Science:
- Oncology
- Surgical Innovation
Background:
- Breast carcinoma and precancer originate in milk duct or lobule linings.
- Ductography and fiberoptic ductoscopy are standard for nipple discharge evaluation.
Purpose of the Study:
- To assess the utility of microdochectomy (MD) with indocyanine green (ICG) fluorescence imaging.
- To evaluate a novel approach for guiding breast surgery in cases of nipple discharge.
Main Methods:
- Microdochectomy (MD) procedure utilizing indocyanine green (ICG) fluorescence imaging.
- Injection of ICG and indigo carmine into the mammary duct.
- Creation of a periareolar incision to obtain fluorescence imaging of the demarcated duct segment.
Main Results:
- ICG fluorescence imaging successfully demarcated the mammary duct segment.
- The procedure provided clear visualization for surgical guidance.
Conclusions:
- Microdochectomy (MD) with ICG fluorescence imaging is effective for guiding breast surgery.
- This technique offers a valuable approach for treating nipple discharge.
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