乳导管内乳头状瘤125例诊治体会  

Clinical analysis of the intraductal papilloma of breast(A report of 125 cases)

作　　者：沈卫达 王励 陈泓 金薇 胡俊艳 

机构地区：[1]上海市长宁区妇幼保健院,上海200051

出　　处：《现代肿瘤医学》2008年第5期740-741,共2页Journal of Modern Oncology

摘　　要：目的:探讨乳导管内乳头状瘤(或瘤病)的临床表现、诊断方法和手术术式。方法:对我院2002年1月-2006年12月收治的125例术后病理证实乳导管内乳头状瘤(或瘤病)的病例进行回顾分析和总结。结果:本组125例中,首发症状为乳头溢液119例(95.20%)。术前造影显示乳导管内占位性病变110例,乳导管造影诊断符合率92.43%。术后病理证实:乳导管内乳头状瘤(或瘤病)117例,乳导管内乳头状瘤(或瘤病)伴恶变8例,乳导管内乳头状瘤(或瘤病)恶变率6.40%。结论:乳导管内乳头状瘤(或瘤病)最常见的症状为乳头溢液,选择性乳导管造影仍然是一种简便、可靠的检查方法。病变导管区段腺体切除术是最常采用的手术方法,乳导管内乳头状瘤(或瘤病)存在一定的恶变率。Objective： To investigate the characteristic, diagnosis and treatment of the intraductal papilloma. Methods：The clinical data of 125 cases who were diagnosed as intraductal papilloma from January 2002 to December 2006 were collected and analyzed retrospectively. Results ：Among these 125 cases, nipple dischange occurred in 119 cases （95.20%）. The confirmed diagnosis rate of intraductal papilloma by galactograghy was 92.43%. Carcinoma - change rate of the intraductal papilloma was 6.40%. Conclusion： Nipple dischange is the most common symptom in the intraductal papillomatesis. The galactography is a valuable method in the diagnosis of the intraductal papilloma. There is carcinoma - change propability in the intraductal papilloma.

关 键 词：乳导管内乳头状瘤 乳头溢液 乳导管造影 恶变 

分 类 号：R737.9[医药卫生—肿瘤]