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The intraductal endoscopic technique had 95% therapeutic efficacy in women with pathologic nipple discharge due to papillomas. Using this procedure, we can remove single papillomas in an office with a local anesthetic cream. Despite its value in treating papillomas, endoscopic papillomectomy is currently restricted to diagnostic purposes in the U.S., as the super-fine micro-endoscope needed for removal of papillomas has not yet received FDA approval.
In addition to its role in detecting and removing papillomas, there is yet another potentially groundbreaking role of intraductal endoscopy: detection of ductal carcinoma in situ (DCIS), a non-invasive form of breast cancer in the milk ducts. Although studies have yet to confirm these early findings, we have been able to detect DCIS using intraductal endoscopy.
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