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To the Editor: A number of ductal cytologic sampling techniques have been proposed as possible screening techniques for breast cancer.¹ We attempted to assess the feasibility of direct intraoperative breast endoscopy in women undergoing partial mastectomy for diagnostic and therapeutic purposes using new endoscopes measuring 1.2 and 0.9 mm in external diameter (DOFI Technologies, Los Angeles, Calif). Until recently, direct visualization techniques have been subject to the technical limitations of endoscopic technology and the excessive cost of the smallest instruments (<5 mm in diameter).^2-3

Method

We attempted to examine 55 women with ductal hyperplasia, ductal carcinoma in situ, or invasive breast cancer identified by current breast screening practices. All lesions were confirmed preoperatively by pathologic analysis of a histologic specimen (core biopsy or incisional surgical breast biopsy). At the time of surgical lumpectomy, the target ductal orifice was identified by the presence of discharge after massage in the quadrant containing the . . . [Full Text of this Article]

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Ductal Lavage: Risk Stratification Versus Cancer Detection
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Ann. Surg. Oncol. 2005;12:681-682.
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