Ductoscopy

Ductoscopy or mammary ductoscopy (also: breast duct endoscopy, galactoscopy) is a medical diagnostic procedure for viewing and collecting epithelial cells and other internal features of the milk ducts. It is capable of detecting smaller abnormalities than mammograms, MRI or ultrasound tests.

Ductoscopy can be performed in a physician's office or as an outpatient in a clinic. A fiber optic scope less than a millimeter thick is inserted into the milk duct at the nipple and threaded deep into the breast through the duct. No incision is involved. An imaging system displays the output of the scope on a computer monitor. Samples of epithelial cells can be collected onto microscope slides for further analysis. Local anesthetic may be employed to reduce discomfort.

Latest Mammary Ductoscope, also called Micro Endoscope, is available with the diameter of 0.35 mm. The endoscopes is used along with a 3-way cannula. The other two ports are used for saline irrigation and Biopsy Forceps of 0.4 mm diameter.

Ductoscopy can also be performed in conjunction with a lumpectomy, allowing the surgeon to achieve clean margins with a minimum of excess tissue removed.

References

http://abcnews.go.com/Health/OnCallPlusScreeningAndDiagnosis/story?id=3642506
"Breast ductoscopy with a 0.55-mm mini-endoscope for direct visualization of intraductal lesions" by VR Jacobs et al.

Endoscopy

Gastrointestinal tract	Upper: Esophagogastroduodenoscopy Lower: Enteroscopy Colonoscopy Sigmoidoscopy Proctoscopy Anoscopy Capsule endoscopy Accessory: Endoscopic retrograde cholangiopancreatography

Respiratory tract	Rhinoscopy Laryngoscopy Bronchoscopy

Urinary tract	Nephroscopy Ureteroscopy Cystoscopy

Female reproductive system	Colposcopy Hysteroscopy Falloposcopy Culdoscopy

Closed cavity via incision	Laparoscopy Laparoscopic surgery Arthroscopy Thoracoscopy Mediastinoscopy Coelioscopy

Other	Fetoscopy Angioscopy Otoscopy

Operations/surgeries and other procedures of the breast (ICD-9-CM V3 85, ICD-10-PCS 0H)

Breast surgery	Breast-conserving surgery Lumpectomy Mastectomy Radical mastectomy Mammoplasty Breast implant Breast reduction plasty SPAIR Mastopexy Breast reconstruction Breast biopsy Fine-needle aspiration Interventions on the Lactiferous ducts Ductal lavage Ductoscopy Microdochectomy Central duct excision

Breast imaging	Mammography Positron emission mammography Tomosynthesis Xeromammography Galactography Breast MRI Breast ultrasound Automated whole-breast ultrasound Scintimammography Tactile imaging

Other	Breast cancer screening Breast self-examination

This article is issued from Wikipedia - version of the 3/25/2016. The text is available under the Creative Commons Attribution/Share Alike but additional terms may apply for the media files.