Tan W T, Lim T C
Department of Surgery, National University Hospital, Singapore.
Am Surg. 1992 Jul;58(7):404-8.
Single-duct microdochectomy is described for use in patients with bloody or serosanguinous nipple discharge arising from a single duct in the breast. Because most such cases are caused by benign, intraductal papillomata, the technique used in removing the offending ductal system should be fully diagnostic, adequately therapeutic, and cosmetically acceptable. A technique is described that is used in 40 consecutive patients with good diagnostic, therapeutic, and cosmetic result. The procedure itself combines techniques and principles of plastic and reconstructive surgery such as minimal tissue trauma, use of anatomical tissue planes, bloodless-field surgery, and microdissection.
本文描述了单管微导管切除术在患有乳腺单管血性或浆液性乳头溢液患者中的应用。由于大多数此类病例是由良性导管内乳头状瘤引起的，因此用于切除病变导管系统的技术应具有充分的诊断性、足够的治疗性且在美容上可接受。本文描述了一种应用于40例连续患者的技术，其诊断、治疗和美容效果良好。该手术本身结合了整形和重建手术的技术及原则，如最小化组织创伤、利用解剖组织平面、无血场手术和显微解剖。
