| Table
7: |
| Clinical
Utility of Ductal Lavage |
| Candidates
for Ductal Lavage (DL): |
- High-risk
patients considering tamoxifen
- History
of atypical ductal hyperplasia
- History
of lobular carcinoma in situ
- BRCA mutation
carriers
- Personal
history of breast cancer or ductal carcinoma in situ
(DL performed in contralateral breast)
- Family history
of breast cancer, ie,
- Two 1st-degree
relatives
- One 1st-degree
relative with bilateral breast cancer
- Three
relatives on one side of the family
- Relatives
with breast and ovarian cancer
- High-risk
patients (Gail score >1.7)
- Patients
considering long-term HRT
- Patients
who meet clinical trial criteria
|
| Patients
Who Are Not Candidates for DL: |
- Abnormal
mammogram or ultrasound
- Abnormal
physical examination
- Prior breast
surgery near the nipple (within 2 cm)
- Prior radiation
to the breast area
- Low risk
patients
|
| |