
Twenty-Year Outcome Following Central Duct Resection for Bloody Nipple Discharge
Author(s) -
Richard S. Nelson,
James L. Hoehn
Publication year - 2006
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/01.sla.0000205828.61184.31
Subject(s) - medicine , nipple discharge , malignancy , breast cancer , biopsy , ductal carcinoma , surgery , serous fluid , radiology , cancer , mammography , pathology
Patients found with pathologic nipple discharge present a diagnostic dilemma to surgeons. No one diagnostic test, including cytology or radiologic imaging, has proved superior to any other in the differentiation of benign versus malignant sources of pathologic nipple discharge. Ductoscopy has been introduced as a way to assist with identification of potential sources of pathologic nipple discharge. Ductoscopy is also useful in the resection of deep or peripheral masses that may be missed with standard blind resection. This report evaluates the risk of missed malignancy following central duct resection (CDR).