Lu.com October 20 (Reporter Pan Xiaoyang, Correspondent Li Tingting) "Sorry, wait for me to finish the examination for the patient first." The reporter came to the Breast Health Department of the Maternal and Child Health Hospital of Dongchangfu District, Liaocheng City at the agreed time. When he was about to interview Dr. Yang Mingzhu, he was "shut down". Because the examination involved the patient's privacy, Dr. Yang, who came oncoming hurried into the clinic and nodded apologetically to the reporter before closing the door.
"Go to another hospital for examination and asked me to have surgery. My colleague said that our hospital does not need surgery. But really, thanks to our ductoscope, I saw what was going on inside, and I felt confident!" In the clinic, Ms. Qin thanked Dr. Yang repeatedly, and Dr. Yang nodded: "One is that our patients have no pain, and the other is that they can intuitively see the situation inside the duct. Even if the surgery is required, we can greatly narrow the scope of the surgery and accurately hit the lesions. In your case, the pathological results are out in three days. Let's make further plans, don't worry."
"Why do other hospitals need surgery? What if our hospital doesn't need it?" Ms. Qin's words left a question for the reporter. Dr. Yang smiled and said, "You can't say that the lactose ductoscope instrument in our hospital has helped a lot." Dr. Yang pointed to an instrument in front of the reporter in the examination room, "The patient just now, in his 40s, is not during the lactation period of . It is logical that there shouldn't be liquid overflowing on the nipples. However, there are often red or yellow secretions on the underwear recently, so come for the examination."
Dr. Yang said that if there is no such instrument, the patient is indeed at risk of surgical examination. Because at the beginning of the breast palpation stage, no obvious tumor was touched on both breasts, but liquid was found to flow out when squeezing the right nipple.
The breasts of people are like a square, and the breast catheter is like the interlaced intestinal path. The "end points" of these breast catheters are gathered at the nipples, responsible for transporting the milk to the nipples. Therefore, if a pathological nipple discharge occurs on the nipple, the first thing to do is to consider is whether the breast catheter has abnormal dilation and whether there are foreign objects in the breast catheter. If the patient is in serious condition and cannot quickly determine the cause in a short period of time, surgical examination does need to be done.
So, what did this ductoscope instrument help?
"Our instrument is powerful, and it can 'drill' into the vagin duct. The vagin ductoscope is the thinnest mirror in endoscopy, with a diameter of only 0.6 mm. You can understand it as a little man holding the camera. As long as it enters, it can quickly pass on the situation inside the vagin duct to you clearly! In this way, during the examination stage, most patients can avoid the process of surgically checking the cause. If there is really a foreign object or lesion in the vagin duct, we can also determine the vagin duct, the vagin section, the distance, narrow the range of the surgery, and reduce the surgical error." As he said that, another patient who was preparing to undergo a re-examination came to the door of the clinic. After learning that the reporter was interviewing Dr. Yang, he took the initiative to talk about his own diagnosis and treatment process.
"I was taking me for a physical examination when my daughter took me for a physical examination. There was something like pus on the nipples. After Dr. Yang discovered it, he said that he could use this instrument to check it. It would be painless, it would not be itchy, and the surgery would not be done. I did this test. But thanks to the examination, I saw it directly on the screen. There was a tumor inside. Later, I had a minor operation. I will have a re-examination today, so I had no worries." The patient looked very relaxed and did not forget to thank Dr. Yang again, "Thanks to Dr. Yang!"
According to Dr. Yang, the most common disease of pathological nipple discharge is intraductal papilloma. This type of tumor is benign lesions. The most typical manifestation is nipple discharge. The color of the discharge may be colorless, light yellow, red or brown. When there is necrosis or calcification in the catheter papilloma, or multiple lesions are distributed in clusters, the risk of malignancy is higher. If it is multiple intracatheter papilloma, the malignancy rate can reach 10%-30%. Therefore, for patients with pathological nipple discharge, early examination should be conducted, and with the help of a lamb ductoscope, early detection, early diagnosis, and early treatment should be reduced from the root cause.
