J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 4199KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 97(5): 357-362, 1996

Feature topic

PROGRESS OF DUCTOSCOPY OF THE BREAST

1) First Department of Surgery, Sapporo Medical University, Sapporo, Japan
2) Applied Fiber Optics Group, Fujikura Co.Ltd, Tokyo, Japan

Akira Okazaki1), Minoru Okazaki1), Koichi Hirata1), Takashi Tsumanuma2)

Ductoscopy of the breast was initially performed utilizing a rigid scope. Improvements in endoscopic equipment and introduction of the silica-fiberscpope have enabled observation of intraductal lesions. The silica-fiberscope can be gradually moved into peripheral sites, after which the endoscopic findings are compared with histological features and diagnostic imaging. The most common symptom dictating endoscopic examination is a discharge from the nipple in which no palpable mass is detected. The fiberscope is introduced through the duct orifice on the surface of the nipple. The characteristic feature of a cancerous lesion is a superficial spread along the surface of the ductal lumen, which differs from the typical features of intraductal papilloma. Microsampling methods such as tube curette cytology should be used to obtain a definitive diagnosis. Endoscopic examination can provide valuable information which will be helpful in the decision process such as ; surgical methods, nipple-preservation, and breast conservation.

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