Lian et al evaluated women with a breast discharge for intraductal neoplasms using ductoscopy. Certain findings can help to identify a woman who may have a breast cancer. The authors are from Guangdong Women and Children Hospital of Jinan University in the People's Republic of China.
Patient selection: woman with a breast discharge
Parameters:
(1) bloody discharge
(2) location as branch of the ductal system
(3) appearance of the duct wall
(4) surface of the duct wall
(5) ducal wall
Parameter
Finding
Points
bloody discharge
no
0
yes
50.9
location
less than II branch
0
II branch or greater
65.9
appearance
regular
0
irregular
100
surface
smooth
0
rough
48.7
ductal wall
normal
0
abnormal
74.5
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 340.1
• The higher the score the greater the risk of malignancy.
