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Title of Journal: Breast Cancer

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Abbravation: Breast Cancer

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Springer Japan

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1880-4233

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Diagnostic and therapeutic value of ductoscopy in

Authors: Sedat Kamali Omer Bender Gülcin Harman Kamali Mehmet Timucin Aydin Oguzhan Karatepe Enis Yuney
Publish Date: 2012/06/06
Volume: 21, Issue: 2, Pages: 154-161
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Abstract

Data on 357 ductoscopic investigations from patients with nipple discharge were collected prospectively Seventyfive patients were diagnosed as having intraductal papillary lesions and these cases were evaluated by final histopathology 55 solitary 14 multiple papillomatosis 6 premalignant or malignant lesions Results of classical diagnostic studies using ultrasonography mammography and galactography were compared with those of ductoscopy and pathologyThe sensitivities of investigation methods for papillomas in this study were 72  in ultrasonography 629  in mammography 814  in galactography and 866  in ductoscopy With ductoscopic papillomectomy DP almost 30  of patient with solitary papilloma did not require further extensive surgerySince there is an increased risk of malignancy surgical excision is recommended for multiple larger papillomas and for papillomas with atypia and in addition for papillomas where diagnostic tools produce suspicious findings On the other hand DP is a minimally invasive intervention and can aid in the followup of lesions proven to have no atypia

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