The significance of ductoscopy of mammary ducts in the diagnostics of XXXX .

@entity75 @entity1 @entity2286 @entity0
INTRODUCTION: Ductoscopy is a low invasive method enabling the diagnostics of @entity75 in breasts. Fiberoptic ductoscopy (FDS) is important in the diagnosis of @entity1 with pathological nipple discharge. There are attempts to apply FDS in @entity1 with @entity0 without the presence of nipple discharge. AIM: To assess fiberoptic ductoscopy in the diagnostics of @entity0 . MATERIAL AND METHODS: The material was composed of a group of 164 @entity1 treated for @entity75 in breasts. In the analyzed group of @entity1 , FDS was conducted in 128 @entity1 with pathological nipple discharge and 36 @entity1 with the presence of @entity0 . The analyzed period was divided into three sub-periods. Sensitivity, specificity, positive predictive value ( @entity2286 ) and negative predictive value (NPV) of FDS examination verified by post-operative histopathological examination were analyzed. The safety of the method was also assessed, taking into consideration the complications. RESULTS: An increasing number of successful ductoscopies together with the number of performed FDS examinations was noted. There were statistically significant differences in the percentage of successful cannulations in relation to the number of performed FDS examinations in the three subsequent stages of the project (p = 0.011). The duration of FDS examination in the third period was reduced in comparison with the first and second period (p < 0.001). Sensitivity of fiberoptic ductoscopy is 68.1%, specificity 77.3% and @entity2286 90.4%, but NPV is 44.1%. CONCLUSIONS: The introduction of fiberoptic ductoscopy in our clinic has contributed to the widening of the diagnostic possibilities of small intraductal lesions of the mammary gland.
