MODERN METHODS OF DIAGNOSIS AND SURGERY OF INTRADERMAL PAPILLOMAS OF THE MAMMARY GLANDS

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Aim. Analysis of diagnostic results and minimally invasive laser treatment of intrapropate papillomas (IPP). Material and Methods. A retrospective analysis of 64 clinical cases from the mammary gland (MG). The main group - 28 patients after minimally invasive laser operations under the supervision of ultrasound, control group - 36 women who underwent resection of MG. Runway processing was carried out based on the use of 2 kJ of energy to destroy 1 cm3 of tissue. To study local changes 3 days after the laser destruction of the runway, 15 women underwent histological examination of the biopsy specimens. Results and Discussion. Allocations from the left nipple were 43 patients, 21 - from the right. 79% of the precipitations were spontaneous. Hemorrhagic nature of the secretion was observed in 26.5% of patients, serous-hemorrhagic - in 32.4% and serous - in 41.1%. Cytologically papillary complexes are found in 29% of cases. Sonographically, the runway was found in 6 women, radiographically in 23. The galactoductography was used in 58 cases. Visualization of the runway during duskoscopy - in 88% of cases. As a result of the complex diagnostic approach, an accurate preoperative diagnosis was obtained in 97.2% of patients. Conclusions. The possibility of treatment in outpatient settings and insignificant traumatic intervention make it possible to avoid postoperative complications and shorten the period of incapacity for work.