乳头溢液64例临床分析  

A clinical analysis of nipple discharge in 64 cases

作　　者：张衡[1] 潘海龙[1] 王重民[1] 高小鹏[1] 袁博[1] 刘保荣[1] 

机构地区：[1]西安市中心医院普外科,西安710004

出　　处：《陕西医学杂志》2007年第10期1304-1306,共3页Shaanxi Medical Journal

摘　　要：目的:探讨乳头溢液的病因诊断及治疗方法。方法:对64例乳头溢液患者的临床资料进行回顾性分析。结果:64例乳头溢液患者中乳腺癌9例,乳管内乳头状瘤19例,乳腺囊性增生症23例,炎症及其它良性乳腺病13例。结论:乳头溢液的主要原发病为乳腺癌、乳管内乳头状瘤、乳腺囊性增生症。溢液脱落细胞学检查结合钼靶摄影、B超检查及乳腺导管造影对乳头溢液原发病的诊断价值较大。半数以上的年龄50岁以上、有乳癌家族史的血性乳头溢液者患乳腺癌。手术是治疗病理性乳头溢液的首选方法。年轻的非肿瘤性乳头溢液患者应随访。Objective ： To investigate the diagnosis and management of nipple discharge. Methods： The clinical data of 64 patients with nipple discharge were reviewed, Results： 9 breast cancers, 19 papillomas, 23 cystic hyperplasias, 13 inflammation and other benign diseases were identified among 64 patients with nipple discharge. Conclusion： Breast cancer, papilloma , cystic hyperplasia were the main causes of nipple discharge, Cytological evaluation of nipple discharge, combined with mammography, sonography and ductography was useful for the diagnosis of nipple discharge. More than half of the patients in the age over 50 with bloody nipple discharge and with family history of breast cancer had breast cancer, Surgical procedures were preferable to patients with pathologic discharge, Younger patients with non-tumorous nipple discharge should be followed up.

关 键 词：乳腺疾病/病因学 乳腺疾病/诊断 乳腺疾病/治疗 

分 类 号：R655.8[医药卫生—外科学]