MICRODOCHECTOMY

Microdochectomy is the surgical removal of a lactiferous duct. A mere incision of a mammary duct (without removal) is called microdochotomy.

INDICATIONS

• nipple discharge
• the treatment of recurrent breast abscess
• mastitis  

Pre-operatively, breast ultrasound and mammogram are performed to rule out other abnormalities of the breast.

If the condition involves only a single duct, then microdochectomy may be indicated, in particular in women wishing to preserve the ability to breastfeed.

if the condition involves from several ducts or if no specific duct could be determined, then a central duct excision may be indicated.

if ductoscopy and close follow-up are performed, in some cases microdochectomy may not be necessary despite bloody nipple discharge.