乳腺导管内乳头状瘤的外科治疗  

Surgical Treatment of Breast Intraductal Papilloma

作　　者：陈绵龄[1] 

机构地区：[1]广东省广州市第一人民医院普通外科,广东广州510180

出　　处：《河北医学》2008年第8期939-941,共3页Hebei Medicine

摘　　要：目的：探讨乳腺导管内乳头状瘤的外科治疗。方法：记录2003年1月至2007年12月对55例乳腺导管内乳头状瘤病例的临床资料,体检结合辅助检查进行手术前定位,良性肿瘤行乳腺区段切除术、半乳切除术、全乳切除术,恶变的行乳腺癌改良根治术。结果：55例患者随访3～5年,1例于术后三年局部复发,行半乳切除术,2例术后仍然反复少量乳头溢液,予以服药密切随访观察,其余病人未见复发。结论：手术前临床体检结合辅助检查准确定位是治疗乳腺导管内乳头状瘤的关键。Objective： To explore the surgical treatment of intraductal papilloma of breast. Methods： Clinical data of 55 cases were collected and analyzed from Jan. 2003 to Dec. 2007. Physical examination combined with X-ray and ductoscope were used to localize papilloma. Segmental mastectomy, half mastectomy or total mastectomy were performed on benign cases and modified radical mastectomy on malignant cases. Resluts：55 cases were followed up for 5 years. One case relapsed and half mastectomy was performed. Two cases still had nipple discharge and they were followed up and take tamoxifen, No orrence occured in others. Conclusion： Physical examination combined with auxiliary examination play an important role in localization of IP before operation.

关 键 词：乳腺 导管内乳头状瘤 治疗 

分 类 号：R737.9[医药卫生—肿瘤]