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| Application value of fiberoptic ductoscopy in the treatment of pathologic nipple discharge#br# |
| LI Zhi1 SHI Lihui1 JIANG Hongchuan2 ZHANG Chao2 CHEN Qi1 ZHANG Teng1 ZHANG Lu1 WANG Jing1 |
1.Department of Breast Surgery, Tongzhou Maternal and Child Health Hospital of Beijing, Beijing 101101, China;
2.Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China |
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Abstract Objective To explore the application value of fiberoptic ductoscopy in the treatment of pathological nipple discharge. Methods The clinical data of 431 patients with pathological nipple discharge who underwent fiberoptic ductoscopy in Tongzhou Maternal and Child Health Hospital of Beijing from January 2019 to December 2020 were analyzed retrospectively, patients with mammary duct inflammation and ductal ectasia were treated with breast duct lavage therapy, the curative effect was observed by telephone follow-up; the differences in color and character of discharge, single / porous nipple discharge, discharge volume, side of discharge (unilateral / bilateral) were observed in benign lesions and breast cancer, space occupying lesions and non-space-occupying lesions, benign space occupying lesions (intraductal papilloma, precancerous lesions, other benign diseases, mammary duct inflammation and ductal ectasia). Results In 257 patients with mammary duct inflammation and ductal ectasia, 200 patients had significant reduction or disappearance of discharge volume after breast duct lavage therapy, and the total effective rate was 77.8%, the color and character between benign lesions and breast cancer, space occupying lesions and non-space-occupying lesions were compared, the differences were statistically significant (P ＜ 0.05), the benign lesions and breast cancer in single / porous discharge were compared, the differences were statistically significant (P ＜ 0.05), and the the discharge volume compared, the difference was not statistically significant (P ＞ 0.05). In benign space occupying lesions, in single / porous discharge were compared, the difference was not statistically significant (P ＞ 0.05), the discharge volume compared, the difference was statistically significant (P ＜ 0.05), the space occupying lesions and non-space-occupying lesions in single / porous discharge and discharge volume were compared, the differences were statistically significant (P ＜ 0.05). Conclusion Fiberoptic ductoscopy can diagnose the etiology of pathological nipple discharge and achieve good efficacy in the treatment of inflammatory lesions in the milk ducts by irrigation. Fiberoptic ductoscopy can accurately locate the space occupying lesions in the milk ducts, accurately remove the lesions and avoid the blindness of surgery.
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