PREOPERATIVE CYTOLOGY AND MAMMOGRAPHY IN PATIENTS WITH SINGLE-DUCT NIPPLE DISCHARGE TREATED BY SURGERY

被引:30
作者
FUNG, A
RAYTER, Z
FISHER, C
KING, DM
TROTT, P
机构
[1] ROYAL MARSDEN HOSP, DEPT SURG, FULHAM RD, LONDON SW3 6JJ, ENGLAND
[2] ROYAL MARSDEN HOSP, DEPT CYTOPATHOL & HISTOPATHOL, LONDON SW3 6JJ, ENGLAND
[3] ROYAL MARSDEN HOSP, DEPT RADIOL, LONDON SW3 6JJ, ENGLAND
关键词
cytology; mammography; microdochectomy; Nipple discharge;
D O I
10.1002/bjs.1800771105
中图分类号
R61 [外科手术学];
学科分类号
摘要
Microdochectomy has been the routine management for single‐duct nipple discharge. Our review of 176 consecutive patients surgically treated between 1975 and 1988 revealed eight patients with in situ carcinomas and seven with infiltrative carcinomas. Seventeen patients had multiple papillomas, two had atypical hyperplasia and two had atypical epitheliosis. Case selection for surgery has recently been advocated. In our study, nipple discharge cytology was helpful in 67 per cent of cases with underlying malignant pathology. Mammography was found to be unreliable, alerting suspicion in only two of 15 cases. Copyright © 1990 British Journal of Surgery Society Ltd.
引用
收藏
页码:1211 / 1212
页数:2
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