The Outpatient Breast Clinic by Alfonso M. Pluchinotta

Author:Alfonso M. Pluchinotta
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

When the discharge is not otherwise suspicious

With no cytological atypia

Prior to operation, methylene blue is injected in the affected duct. Ultrasonography can be used to localise the ectatic duct in cases where there is no secretion on the day of the scheduled operation. The blue colour enables the surgeon to excise the affected duct accurately. The excision of the duct system should be about 25 mm or as far as dilated ducts contain blood/serum discharge. Such a microductectomy preserves breast tissue and gives a better cosmetic result than with complete major duct excision.

Major duct excision appears to detect a higher percentage of occult carcinoma when compared with minimally invasive microductectomy. Results are related to the larger sample size of the resection specimen, but this motivation is widely disputable. At present, major duct excision is indicated:In women older than 40 years, although age should not be used in identifying women at risk of malignancy

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