Microdochectomy is a standard treatment of in case there is nipple discharge which stems from a single duct. There are preliminary indications that if ductoscopy and close follow-up are performed, in some cases microdochectomy may not be necessary despite bloody nipple discharge.
Duct excision may also be indicated for the treatment of recurrent breast abscess and mastitis; in this case however the total removal of all ducts from behind the nipple has been recommended to avoid further recurrence.
Galactography may be used to investigate the condition of the mammary duct system before the intervention. Pre-operatively, also 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 subareolar resection of the ducts (central duct excision, also called Hadfield's procedure) may be indicated instead.
Possible complications of the procedure include temporary or permanent alternation to the shape, sensation or pigmentation of the nipple, such as a minor change to the contour of the nipple-areola region. Although microdochectomy usually preserves the ability to breastfeed, nonetheless the loss of breastfeeding ability is a known complication. Furthermore, infection or hematoma may occur, and there may be a poor cosmetic result.
- Breast Microdochotomy/Microdochectomy (patient consent form), Queensland government
- Microdochectomy, Systematized Nomenclature of Medicine - Clinical Terms
- "Microdochotomy". Systematized Nomenclature of Medicine - Clinical Terms. Retrieved 4 November 2014.
- Nigel Rawlinson; Derek Alderson (29 September 2010). Surgery: Diagnosis and Management. John Wiley & Sons. p. 219. ISBN 978-1-4443-9122-0.
- Makita, Masujiro; Akiyama, Futoshi; Gomi, Naoya; Iwase, Takuji (2014). "Mammary ductoscopy and watchful follow-up substitute microdochectomy in patients with bloody nipple discharge". Breast Cancer. ISSN 1340-6868. doi:10.1007/s12282-014-0561-z.
- Trop I, Dugas A, David J, El Khoury M, Boileau JF, Larouche N, Lalonde L (October 2011). "Breast abscesses: evidence-based algorithms for diagnosis, management, and follow-up". Radiographics : a Review Publication of the Radiological Society of North America, Inc (review) 31 (6): 1683–99. PMID 21997989. doi:10.1148/rg.316115521., p. 1694
- J Michael Dixon (22 June 2013). Breast Surgery: Companion to Specialist Surgical Practice. Elsevier Health Sciences. p. 276. ISBN 978-0-7020-4967-5.
- Brendon J Coventry (17 January 2014). Breast, Endocrine and Surgical Oncology. Springer Science & Business Media. p. 23. ISBN 978-1-4471-5421-1.
- J Michael Dixon (22 June 2013). Breast Surgery: Companion to Specialist Surgical Practice. Elsevier Health Sciences. p. 275. ISBN 978-0-7020-4967-5.
- Christopher Chan; Christopher L. H. Chan; Alister J. Hart (2001). Viva Practice for Intercollegiate MRCS. PasTest Ltd. p. 108. ISBN 978-1-904627-19-7.
- William E. G. Thomas; Norbert Senninger (1 February 2008). Short Stay Surgery. Springer Science & Business Media. p. 136. ISBN 978-3-540-69028-3.