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Ohlinger R, Flieger C, Hahndorf W, Paepke S, Blohmer JU, Grunwald S, Alwafai Z, Flieger R, Camara O, Deichert U, Peisker U, Kohlmann T, Buchholz I, Hegenscheid K, Utpatel K, Stomps A, Rechenberg U, Zygmunt M, Hahn M. Correlation of Ductoscopic and Histopathological Findings and Their Relevance as Predictors for Malignancy: A German Multicenter Study. Anticancer Res 2020; 40:2185-2190. [PMID: 32234913 DOI: 10.21873/anticanres.14179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Revised: 02/16/2020] [Accepted: 02/27/2020] [Indexed: 11/10/2022]
Abstract
BACKGROUND/AIM The study aimed at investigating the correlation between ductoscopic and histopathological findings and clarify whether the former allow for accurate prediction of malignancy. PATIENTS AND METHODS The prospective national multi-center study covered a sample of 224 patients with pathologic nipple discharge. A total of 214 patients underwent ductoscopy with subsequent extirpation of the mammary duct. The ductoscopic findings were categorized according to shape, number, color and surface structure of lesions and vascularity and compared to the histological results and analyses. RESULTS Ductoscopy revealed lesions in 134 of 214 patients (62.2%). The criteria "multiple versus solitary lesion" differed significantly between malignant and benign lesions. All other criteria were not statistically significant. Malignant tumors were more frequently presented as multiple lesions, benign lesions or masses as solitary lesions (80% vs. 24.8%; p=0.018). CONCLUSION The ductoscopic criterion "solitary vs. multiple lesion" appears to have a low diagnostic prediction of malignancy or benignity.
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Affiliation(s)
- Ralf Ohlinger
- Department of Obstetrics and Gynecology, Medical University Greifswald, Greifswald, Germany
| | - Carolin Flieger
- Department of Obstetrics and Gynecology, Medical University Greifswald, Greifswald, Germany
| | - Wenke Hahndorf
- Department of Obstetrics and Gynecology, Medical University Greifswald, Greifswald, Germany
| | - Stefan Paepke
- Department of Obstetrics and Gynecology, Technical University of Munich, Munich, Germany
| | - Jens-Uwe Blohmer
- Department of Obstetrics and Gynecology, St. Gertrauden Hospital, Berlin, Germany
| | - Susanne Grunwald
- Department of Obstetrics and Gynecology, Medical University Greifswald, Greifswald, Germany
| | - Zaher Alwafai
- Department of Obstetrics and Gynecology, Medical University Greifswald, Greifswald, Germany
| | - Robert Flieger
- Department of Orthopedics, Medical University Greifswald, Greifswald, Germany
| | - Oumar Camara
- Department of Obstetrics and Gynecology, University Hospital Jena, Jena, Germany
| | - Ulrich Deichert
- Department of Obstetrics and Gynecology, Hospital Cuxhaven, Cuxhaven, Germany
| | - Uwe Peisker
- Department of Obstetrics and Gynecology, Hermann Josef Hospital, Erkelenz, Germany
| | - Thomas Kohlmann
- Institute for Community Medicine, Medical University Greifswald, Greifswald, Germany
| | - Ines Buchholz
- Institute for Community Medicine, Medical University Greifswald, Greifswald, Germany
| | - Katrin Hegenscheid
- Institute for Diagnostic Radiology and Neuroradiology, Medical University Greifswald, Greifswald, Germany
| | - Kirsten Utpatel
- Institute for Pathology, Medical University Greifswald, Greifswald, Germany
| | - Andrea Stomps
- Department of Obstetrics and Gynecology, Medical University Greifswald, Greifswald, Germany
| | - Ulrike Rechenberg
- Department of Obstetrics and Gynecology, Medical University Greifswald, Greifswald, Germany
| | - Marek Zygmunt
- Department of Obstetrics and Gynecology, Medical University Greifswald, Greifswald, Germany
| | - Markus Hahn
- Department of Obstetrics and Gynecology, University Hospital Tuebingen, Tuebingen, Germany
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