Is it necessary to undergo ductoscopy if breast ultrasound results are normal?

Generally, if there are no other abnormalities in the breast, a ductoscopy is not necessary. However, if abnormal symptoms such as nipple discharge are present, further ductoscopy examination is recommended, especially for individuals at higher risk. Specific analysis is as follows:

If a patient's breast ultrasound results are normal and there are no abnormal symptoms such as nipple discharge, abnormal milk secretion, breast lumps, pain, or skin changes, ductoscopy is usually not required.

If a patient experiences abnormal symptoms such as nipple discharge, ductoscopy is recommended even if the breast ultrasound results are normal. Ductoscopy allows direct visualization of potential lesions within the milk ducts, such as intraductal papillomas, intraductal tuberculosis, or papillary carcinoma, thereby assisting doctors in making accurate diagnoses and treatment decisions.

For high-risk individuals, such as those with a family history of breast cancer or a personal history of breast cancer, doctors may recommend additional examinations—including ductoscopy—even in the absence of symptoms, to rule out potential underlying abnormalities.

After undergoing ductoscopy, patients should maintain good breast hygiene and avoid local infections.