The role of mammary ductoscopy in breast cancer: a review of the literature.
Breast cancer is the most frequently diagnosed malignancy among American women. It is the second most common cause of cancer death. Genetic analysis using comparative genetic hybridization (CGH) has shown evidence that the majority of breast cancers, approximately 85%, begin in the ductal epithelium with normal cells progressing to atypia and finally to carcinoma. Mammary ductoscopy, also referred to as the intraductal approach, is a new tool that allows direct visualization of the breast ductal system. It enables one to sample the ductal epithelium and may allow identification of early changes cytologically as well as potentially play an important role in aiding surgical excision. This may aid in detection of breast masses long before they are palpable or visible via mammography. Mammary ductoscopy may have a role in the evaluation of women with nipple discharge, high-risk women, or limiting the amount of tissue removed in breast conservation surgery for cancer.
Louis Venet Comprehensive Breast Service, Beth Israel Medical Center, New York, NY 10003, USA. imednav@yahoo.com
Edna
E
Kapenhas-Valdes
Sheldon M
SM
Feldman
Susan K
SK
Boolbol
D001943:Breast Neoplasms / Q000175:diagnosis* / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D042361:Mammary Glands, Human / Q000378:metabolism / Q000473:pathology* / Q000601:surgery