Evidence map›Paper›PMID 29938367›Full record

ArticleBreast cancer (Tokyo, Japan)2018

Use of fiberoductoscopy for the management of patients with pathological nipple discharge: experience of a single center in Poland.

Jacek Zielinski, Radoslaw Jaworski, Ninela Irga-Jaworska, Michal Pikula, Michael Hunerbein, Janusz Jaskiewicz

Open access · hybridAbstract read
In one paragraph

Article in Breast cancer (Tokyo, Japan), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Jacek ZielinskiDepartment of Surgical Oncology, Medical University of Gdansk, Smoluchowski Str 17, 80-214, Gdansk, Poland. jaziel@gumed.edu.pl.
Radoslaw JaworskiDepartment of Cardiac Surgery, Children's Health Memorial Institute, Warsaw, Poland.ORCID http://orcid.org/0000-0002-0590-9470
Ninela Irga-JaworskaDepartment of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk, Poland.
Michal PikulaDepartment of Clinical Immunology and Transplantology, Medical University of Gdansk, Gdansk, Poland.
Michael HunerbeinDepartment of General, Visceral and Cancer Surgery, Helios Klinikum Berlin-Buch, Berlin, Germany.
Janusz JaskiewiczDepartment of Surgical Oncology, Medical University of Gdansk, Smoluchowski Str 17, 80-214, Gdansk, Poland.
Gdańsk Medical University · PLChildren's Memorial Health Institute · PLHelios Hospital Berlin-Buch · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPathological nipple discharge (PND) is associated with serious clinical and diagnostic issues. Fiberoductoscopy (FDS) is a new diagnostic option in PND patients. This study summarizes our initial experience of FDS for the management of PND patients in a single center in Poland and assesses its safety.

methodsA total of 256 women with PND were included in this prospective, case-controlled, single-center study between 2006 and 2014. Of the 250 patients who underwent FDS, 154 had mammary duct lesions and 96 had no visible lesions. Subsequently, 129 patients with lesions identified by FDS underwent microductectomy and the lesions were pathologically evaluated.

resultsThe mean duration of FDS examination was 17 min. The most frequent intraductal lesion was amputation of a duct (35.1%), followed by circular narrowing or hyperplasia (22.7%). Final histological findings were unremarkable in 11.6% of cases, whereas mammary duct papilloma, duct ectasia, and ductal carcinoma in situ were detected in 71.3, 10.9, and 6.2% of cases, respectively.

conclusionsFDS is an innovative method for visualizing intraductal mammary lesions and allows accurate selection of mammary ducts with suspicious lesions that require surgical removal in women with PND.

Indexed as

Nipple DischargeAdultAgedAged, 80 and overBreast DiseasesCase-Control StudiesEndoscopyFemaleHumansMammary Glands, HumanMiddle AgedNipplesPolandPredictive Value of TestsProspective StudiesYoung AdultFiberoductoscopyMammary duct lesionsPathologic nipple discharge

Identifiers

PMID29938367
PMCPMC6208849
OpenAlexW2810446584

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.