Refine
Year of publication
- 2014 (15) (remove)
Document Type
- Doctoral Thesis (14)
- Article (1)
Has Fulltext
- yes (15)
Is part of the Bibliography
- no (15)
Keywords
- Diabetes mellitus (2)
- +49 A/G (1)
- - (1)
- -318 C/T (1)
- AGnES-Konzept (1)
- Acceptance (1)
- Accessibility (1)
- Ageing (1)
- Agnes concept (1)
- Akzeptanz (1)
- Alterung (1)
- Arbeitsfähigkeit (1)
- Arteriosklerose (1)
- Bedarfsplanung (1)
- Blutglucose (1)
- Brandenburg (1)
- Breast cancer (1)
- CTLA-4 (1)
- Data Dictionary (1)
- Datenmanagement (1)
- Demografische Entwicklung (1)
- Einschulungstest (1)
- Electronic Data Capture (EDC) (1)
- Endoscopic breast ductoscopy (1)
- Entwicklung (1)
- Epidemiologie (1)
- Erreichbarkeit (1)
- Frühgeborenes (1)
- Gebärmutterhalskrebs (1)
- Gesundheitsverhalten (1)
- HPV (1)
- HPV vaccination (1)
- HPV-Impfung (1)
- Hausarzt (1)
- Hausbesuch (1)
- Hausärztliche Versorgung (1)
- Health care utilization (1)
- Holzschutzmittel (1)
- Humanes Papillomavirus (1)
- Impfbereitschaft (1)
- Impfung (1)
- Impfverhalten (1)
- Inanspruchnahme (1)
- Individualisierte Medizin (1)
- Intraductal lesion (1)
- Juvenile idiopathische Arthritis (1)
- Kernspintomographie (1)
- Land Brandenburg (1)
- Lindan (1)
- Magnetic Resonance Imaging (1)
- Medical care (1)
- Medizinische Versorgung (1)
- Mobile Datenerfassung (1)
- Mukoviszidose (1)
- Mustererkennung (1)
- Nachwuchsproblem (1)
- Neugeborenenscreening (1)
- Nipple discharge (1)
- Online-Datenerfassung (1)
- Pattern Recognition (1)
- Pentachlorphenol (1)
- Pflege (1)
- Planning of demand (1)
- Polymorphismus (1)
- Premature (1)
- Prostata (1)
- Prostate (1)
- Prävention (1)
- Psoriasis vulgaris (1)
- Risikofaktor (1)
- Risikofaktoren (1)
- Rückenschmerz (1)
- SNiP-Studie (1)
- Schuppenflechte (1)
- Shifting demographics (1)
- Sozialstatus (1)
- Stress (1)
- Typ 2 Diabetes mellitus (1)
- Type 2 diabetes mellitus (1)
- Wissen (1)
- Work-Ability-Index (1)
- Zytotoxischer T-Lymphozyt (1)
- asynchrone Datenerfassung (1)
- atherosclerosis (1)
- betriebliche Gesundheitsförderung (1)
- development (1)
- electronic Case Report Form (eCRF) (1)
- epidemiology (1)
- family medicine (1)
- junior problem (1)
- juvenile idiopathic arthritis (1)
- population-based studies (1)
- populationsbasierte Studien (1)
- psoriasis vulgaris (1)
- regional disparities (1)
- regionale Unterschiede (1)
- risk factors (1)
- school entrance examination (1)
- survey of neonates in pomerania (1)
- underserved regions (1)
- unterversorgte Regionen (1)
- vaccination acceptance (1)
- vaccination behaviour (1)
Institute
- Institut für Community Medicine (15) (remove)
Publisher
- S. Karger AG (1)
SummaryBackground: According to the literature, ductoscopy is gaining increasing importance in the diagnosis of intraductal anomalies in cases of pathologic nipple discharge. In a multicenter study, the impact of this method was assessed in comparison with that of standard diagnostics. Patients and Methods: Between 09/2006 and 05/2009, a total of 214 patients from 7 German breast centers were included. All patients underwent elective ductoscopy and subsequent ductal excision because of pathologic nipple discharge. Ductoscopy was compared with the following standard diagnostics: breast sonography, mammography, magnetic resonance imaging (MRI), galactography, cytologic nipple swab, and ductal lavage cytology. The histological and imaging results were compared and contrasted to the results obtained from the nipple swab and cytologic assessment. Results: Sonography had the highest (82.9%) sensitivity, followed by MRI (82.5%), galactography (81.3%), ductoscopy (71.2%), lavage cytology (57.8%), mammography (57.1%), and nipple swab (22.8%). Nipple swabs had the highest (85.5%) specificity, followed by lavage cytology (85.2%), ductoscopy (49.4%), galactography (44.4%), mammography (33.3%), sonography (17.9%), and MRI (11.8%). Conclusion: Currently, ductoscopy provides a direct intraoperative visualization of intraductal lesions. Sensitivity and specificity are similar to those of standard diagnostics. The technique supports selective duct excision, in contrast to the unselective technique according to Urban. Therefore, ductoscopy extends the interventional/diagnostic armamentarium.