在患有复发性和持续性病理性乳头泄漏的患者中进行第二次导管镜检查手术
Seher Makineli1, Mando D Filipe1, Menno R Vriens1
1Department of Surgical Oncology, University Medical Center, Utrecht, The Netherlands.
Breast care (Basel, Switzerland)
|October 30, 2023
概括
第二次导管镜检查可以帮助避免在第一次尝试失败时因病态乳头泄漏 (PND) 进行不必要的手术. 这种程序在59%的患者中成功阻止了PND,防止了手术.
科学领域:
- 乳房手术 乳房手术
- 最少侵入性手术的方法
- 诊断成像 诊断成像 诊断成像
背景情况:
- 病态乳头泄漏 (PND) 往往导致手术由于标准放射性成像的局限性.
- 导管镜术提供了直接的导管内可视化,但第一次尝试失败仍可能导致不必要的外科干预.
- 这项研究调查了第二次导管镜检查在没有可疑放射性发现的情况下治疗持续性PND的有用性.
研究的目的:
- 在患有复发性或持续性PND的患者中评估第二次导管镜术程序的有效性.
- 为了确定第二次导管镜检查后可预防的外科手术的发生率.
- 在初始技术故障的情况下,评估重复导管镜检查的诊断产量.
主要方法:
- 对17名在2010年至2017年期间接受了两次导管镜检查的患者进行了回顾性分析.
- 由于技术问题,第二次导管镜检查是在第一次尝试失败后进行的.
- 衡量的主要结果是可以避免的手术数量.
主要成果:
- 在17名患者中进行了第二次导管镜检查;第一次尝试未能在4名 (23.5%) 患者中可视化导管树.
- 患病性乳头泄漏 (PND) 在第二次手术后在10名患者 (58.8%) 解决,避免了手术.
- 在7名仍然患有PND的患者中,随后的手术揭示了乳头瘤 (5) 或局部管道癌 (1).
结论:
- 第二次导管镜检查对于在初次尝试失败后持续PND的患者来说是一个有价值的工具.
- 在大约59%的病例中,重复该程序可以防止不必要的手术.
- 这种方法提高了诊断准确度和病态乳头泄漏的患者管理.
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