NYP/Columbia is the only facility in theU.S.to offer scarless endoscopic papillomectomy for treatment of pathologic nipple discharge (fluid leaking from the nipple). Intraductal techniques allow our surgeons to perform minimally invasive evaluations, in contrast to traditional evaluations which required surgical removal of the milk ducts under the nipple, and resulted in scarring and deformity. Moreover, NYP/Columbia is one of only a handful of centers in theU.S.with extensive experience performing ductoscopically guided microductectomy, which allows for targeted surgical removal of the portion of the milk duct causing the discharge. Using an interventional ductoscope, a papilloma causing the discharge can be removed completely endoscopically, through the nipple, without the need for a surgical incision.
Our researchers are also investigating intraductal endoscopy for the earliest detection and potential intraductal treatment of ductal carcinoma in situ (DCIS). Ultimately we hope to be able to prevent breast cancer through intraductal local therapy delivered through the nipple.