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July 1989, Vol 124, No. 7 >

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ARTICLE | July 1989

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

Arindam Choudhury, MD; Paul A. Wengert, MD; J. Stanley Smith, MD
Arch Surg. 1989;124(7):874-875. doi:10.1001/archsurg.1989.01410070134029.
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• 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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