Endoscopic classification of intraductal lesions and histological diagnosis

Makita, Masujiro; Akiyama, Futoshi; Gomi, Naoya; Ikenaga, Masakazu; Yoshimoto, Masataka; Kasumi, Fujio; Sakamoto, Goi

doi:10.1007/bf02967593

Cited by 34 publications

(32 citation statements)

References 6 publications

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“…The hemispheric and papillary shapes are the most common ones in cases of intraductal papilloma; however, the possibility of a malignancy in the multiple polypoid-type lesions should not be ignored. Histologically, yellow and ash-gray nodules are to be found as intraductal papillomas, whereas the red nodules are intraductal papillomas with hypervascularity and bleeding [24,25]. Contrary to hemispheric and papillary shapes, the flat protrusion type is the most common one in cases of carcinoma [22].…”

Section: Ductoscopic Visual Diagnosis Sensitivity and Limitationsmentioning

confidence: 99%

Comparison of Ductoscopy, Galactography, and Imaging Modalities for the Evaluation of Intraductal Lesions: A Critical Review

Sarıca¹,

Öztürk²,

Demirkurek

et al. 2013

Breast Care

277

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Background: Today, in cases of nipple discharge of unclear origin, the abundance of diagnostic procedures - a ‚diagnostic dilemma' - becomes apparent, because unequivocal indications and a current, standardized examination sequence are presently not available. The diagnostic workup of patients with nipple discharge usually includes the clinical history, physical examination, mammography, ultrasonography, galactography, and nipple discharge cytology, but not ductoscopy. Methods: In this review we analyze and discuss the possible role of ductoscopy in evaluating intraductal pathologies and its combined use with diagnostic imaging modalities. For this purpose, we reviewed and compared the results of the radiological, pathological, and surgical studies independently. Conclusions: Currently, there is no solitary accurate modality to reach our definitive purpose. Being aware of the capability of each diagnostic modality may take us closer to our target. Therefore, adjunct and appropriate use of multiple imaging modalities and ductoscopy is necessary to evaluate patients with nipple discharge.

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Section: Ductoscopic Visual Diagnosis Sensitivity and Limitationsmentioning

confidence: 99%

Comparison of Ductoscopy, Galactography, and Imaging Modalities for the Evaluation of Intraductal Lesions: A Critical Review

Sarıca¹,

Öztürk²,

Demirkurek

et al. 2013

Breast Care

277

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“…В основу данной классификации положены представления о том, что изменения, выявленные эндоскопически, в определенной степени коррелируют с результатами гистологических исследований (цит. по [8]). …”

Section: обзорыunclassified

“…провели ЭМДС у 129 пациенток и после морфологической верификации установили, что если при 1-м типе соотношение между доброка-чественными и злокачественными ВПНО составля-ло 8:1, при 3-м -1:29 и при 4-м-1:8, т.е. разница являлась существенной, то при 2-м типе этот по-казатель нивелировался и данное соотношение со-ставляло всего 1:2 [8].…”

Section: обзорыunclassified

“…Теоретическими предпосылками к разработке и внедрению ЭМДС в клиническую практику явились два обстоятельства: с одной стороны, большинство новообразований МЖ происходят именно из про-токового эпителия, а с другой -в практической маммологии до последнего времени отсутствовали методики, обеспечивающие прямую визуализацию патологических изменений, как, например, в пуль-монологии, гастроэнтерологии или урологии [2,5,8].…”

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Endoscopic mammoductoscopy: current status and future development

Aksenov¹,

Седаков²,

Belonenko³

2015

Endosk. khir.

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“…Inflammatory and benign papillomatous breast diseases are often associated with spontaneous or provoked nipple discharge.Forseveralyears,ductoscopyhasbeenavailableasa supplementaryminimal-invasivediagnostictool.Thismodality extends conventional techniques (mammography, breast duct ultrasonography, magnetic resonance imaging (MRI), fineneedleaspirationcytology(FNAC),punchbiopsy,galactography) [1][2][3][4][5][6][7] and leads to increased diagnostic safety [8][9][10].Withductoscopy,i.e.endoluminalbreastductendoscopy, intraductal pathologies can be diagnosed a long time before theybecomepalpableorcanbevisualizedbymammography [9,11].SinceTeboul [12]firstdescribedthetechniqueofendoscopicductoscopyin1988,morethan90paperswerepub-lishedonthissubject.Only6papersrelatetotheendoscopic appearanceoflesionsandtothequestionofhowthisappearancecorrelateswithhistopathologicresults(table1) [13][14][15][16][17][18]. Sincepublisheddiagnosticdescriptorsvarysignificantly,and becauseofverysmallcasenumbers,wedesignedaconsistent set of criteria based on a literature review.…”

Section: Introductionmentioning

confidence: 99%

Ductoscopy-Based Descriptors of Intraductal Lesions and Their Histopathologic Correlates

et al. 2010

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Background: In order to elucidate criteria for distinguishing benign from malignant lesions, this study correlated the ductoscopy-based macroscopic description of intraductal lesions with histopathologic results. Materials and Methods: Aiming to use diagnostic criteria consistent with previous publications, we analyzed the literature and established a uniform set of diagnostic descriptors. Based on these criteria, we subsequently analyzed and catalogued video and photographic material from 68 patients with nipple discharge, who had undergone ductoscopy followed by open surgery. For all breast lesions, the factors lesion type, number of lesions, lesion color, surface characteristics, and presence of blood or atypical vessels were reported. Based on the frequency distribution and the odds ratio, we were able to evaluate the differential diagnostic value of ductoscopic criteria in comparison with the respective histopathologic results. Results: Among the ductoscopic criteria, a fissured surface, hemorrhage or atypical vessels, and a polypoid appearance were important predictors for malignant lesions. In contrast, a smooth surface, the absence of hemorrhage and atypical vessels and a level appearance of the lesions predicted benign lesions. Conclusions: For predicting the benign versus malignant character of ductoscopic lesions, the following criteria should be used: presence or absence of blood and atypical vessels, surface type, and level versus polypoid appearance.

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Endoscopic classification of intraductal lesions and histological diagnosis

Abstract: Endoscopic classification is useful to diagnose intraductal lesions.

Cited by 34 publications

References 6 publications

Comparison of Ductoscopy, Galactography, and Imaging Modalities for the Evaluation of Intraductal Lesions: A Critical Review

Comparison of Ductoscopy, Galactography, and Imaging Modalities for the Evaluation of Intraductal Lesions: A Critical Review

Endoscopic mammoductoscopy: current status and future development

Ductoscopy-Based Descriptors of Intraductal Lesions and Their Histopathologic Correlates

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