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July 1989

A New Surgical Localization Technique for Biopsy in Patients With Nipple Discharge

Author Affiliations

From the Departments of Surgery, Polyclinic Medical Center, Harrisburg, Pa (Drs Choudhury and Wengert), and The Milton S. Hershey Medical Center, Pennsylvania State University, Hershey (Dr Smith).

Arch Surg. 1989;124(7):874-875. doi:10.1001/archsurg.1989.01410070134029

• In a series of 12 patients with bloody nipple discharge, a new technique of mammary ductal localization was used to identify the duct responsible for the discharge and assure its complete removal for pathological diagnosis. This procedure utilizes a 30-gauge anterior chamber needle that is gently advanced into the offending duct, and methylene blue dye is injected to outline the involved duct for easy dissection though a circumareolar incision. This provides the pathologist with an intact specimen and avoids the problems associated with specimen roentgenography or loss of a ductal probe during the procedure. Because we feel that all patients with a bloody nipple discharge warrant a biopsy, this procedure provides a safe, rapid, effective method and allows the biopsy to be done on an outpatient basis.

(Arch Surg 1989;124:874-875)

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