How Do I Do It? Microdochectomy or Single Milk Duct Excision
摘要
The surgical treatment for ladies presenting with blood or serous nipple discharge emanating from a single duct is an excision of a diseased milk duct called microdochectomy. It is suitable for nulliparous ladies and those desirous of breast feeding. It entails removal of the diseased milk duct for a length of 5 cm for blood or serous discharge and 1.5 cm for purulent discharge. Currently, the microdochectomy is accomplished through a circumareolar incision avoiding any cut on the nipple. The incision over the nipple may lead to a tender and sometimes hypertrophic scar, and is best avoided.