乳管镜在未扪及肿块的导管内占位性病变诊断中的应用  

Application of fiberoptic ductoscopy to the diagnosis of intraductal space occupying lesions without palpable mass

作　　者：邬玉辉[1] 齐瑛[1] 何英[1] 唐利立[1] 海健[1] 

机构地区：[1]中南大学湘雅医院乳腺科,湖南长沙410008

出　　处：《中国医学工程》2007年第6期489-490,493,共3页China Medical Engineering

摘　　要：目的评价乳管镜对未扪及肿块的导管内占位性病变的诊断价值。方法对139例未扪及肿块的乳头溢液患者行乳管镜检查,将溢液性质、检查结果、病理结果进行总结分析。结果乳管镜检查发现乳管扩张和乳管炎88例,导管内乳头状瘤46例,乳头状瘤病2例,导管癌3例。51例占位性病变患者46例行手术治疗,与病理诊断符合率分别为87.8%(36/41),100%(2/2),66.7%(2/3)。结论乳管镜能早期发现导管内占位性病变,明确病变部位,有利于早期准确手术,并提高早期乳腺癌的检出率。[Objective] To evaluate the value of fiberoptic ductoscopy （FDS） for diagnosing intraductal space occupying lesions without palpable mass. [Methods] 139 patients with nipple discharge with unpalpable mass were submitted to fiberoptie duetoseopy examination. Discharge property, FDS diagnosis, and pathologic diagnosis were analyzed retrospectively. [Results] Mammary duet ectasia and galactophoritis were found in 88 cases, papilloma and papillomatosis were found in 46 cases and 2 eases; duet cancer was found in 3 eases, 46 of 51 eases with intraduetal space occupying lessions underwent operation. The accordance rate with pathologic diagnosis was 87.8%, 100% and 66.7%, respectively. [Conclusion] FDS can detect intraductal space occupying lesions early and locate accurate site, trying to operate early and accurately, and improve the diagnosis of early breast cancer.

关 键 词：乳管镜 导管内占位性病变 乳腺癌 

分 类 号：R737.9[医药卫生—肿瘤]