Breast intraductal lesion resection under breast fiberoptic ductoscopy

Objective To explore the feasibility and to sum up the experience of breast intraductal neoplasm resection under breast fiberoptic ductoscopy(FDS).Methods FDS was performed on 548 patients with nipple discharge from Sep.2004 to Nov.2006.The clinical data of breast intraductal neoplasm found by FDS in patients who underwent tumor resection were analyzed,and the breast intraductal neoplasm image characteristics,diagnosis,operative type and postoperative pathological results were analyzed.Results Of the 548 patients with nipple discharge,intraductal neoplasm was found in 187 cases(34.1%),intraductal papilloma in 159 cases(29.0%),intraductal papillomatosis in 12 cases(2.2%),and breast carcinoma in 16 cases(2.9%).One hundred thirty-five patients were operated on in our hospital,of whom 91 were performed tumor resection or segmentectomy under the localization by FDS,and the other 44 were performed segmentectomy after breast duct infusion of methylene blue.The diagnostic rate under FDS in the FDS group(97.8%)was higher than that in the breast duct infusion methylene group(86.4%)(χ 2=6.96,P = 0.008).Conclusion FDS is not only an accurate diagnosis for breast intraductal lesion,but also an assistance to localize the breast intraductal neoplasm and to remove them in the operation.