Scarless endoscopic papillomectomy of the breast.

Abstract

BACKGROUND:

Efforts have been made to improve minimally invasive breast surgery techniques, resulting in less tissue damage and much better cosmetic results. We evaluated the therapeutic value of a new scarless operation, endoscopic papillomectomy (EP), in patients with pathologic nipple discharge (PND).

METHODS:

Breast ductoscopy was performed on 126 women with PND. These patients underwent a variety of appropriate ductoscopy-assisted (DA) endosurgical interventions, combined with cytologic examinations. Success was determined by recurrence of PND and by standard radiological examinations.

RESULTS:

Ductoscopy was successfully performed in 102 patients. Of these 102 patients, 26 had solitary papillomas (SP), 5 had multiple papillomas (MP), 11 had intraductal debris, and 1 had a ductal epithelial surface abnormality with positive cytology. Of the 26 polypoid lesions (cytology negative), 22 were excised endoscopically (endoscopic papillomectomy). Patients with MP underwent DA-microdochectomy. Except in one patient, all discharges disappeared. After a mean +/- SD follow-up time of 11.5 +/- 5.8 months (range 2-22 months), there were no recurrences of nipple discharge and no radiological results suggestive of malignancy. Thus, the therapeutic efficacy of EP in our study was 95.4% (21/22).

CONCLUSIONS:

Ductoscopy is not only a diagnostic procedure, but is also therapeutic for breast papillomas. EP is a new scarless treatment option for patients with PND.

• Authors: Omer Bender, Fatih Levent Balci, Enis Yüney, Hasan Akbulut
• Journal: Onkologie (Onkologie) Vol. 32 Issue 3 Pg. 94-8 (Mar 2009) ISSN: 1423-0240 [Electronic] Switzerland
• PMID: 19295246 (Publication Type: Clinical Trial, Journal Article)
• Copyright: Copyright 2009 S. Karger AG, Basel.

Topics

• Adult
• Aged
• Aged, 80 and over
• Breast Neoplasms (pathology, surgery)
• Cicatrix (etiology, prevention & control)
• Endoscopy (methods)
• Female
• Humans
• Middle Aged
• Minimally Invasive Surgical Procedures (methods)
• Papilloma, Intraductal (pathology, surgery)
• Treatment Outcome