乳头溢液95例临床分析  

NIPPLE DISCHARGE:REPORT OF 95 CASES

作　　者：张祖兰[1] 边林莉[1] 

机构地区：[1]浙江萧山医院乳腺疾病诊治中心,浙江杭州311200

出　　处：《齐鲁医学杂志》2009年第3期273-274,共2页Medical Journal of Qilu

摘　　要：目的探讨乳头溢液的不同性质及其与乳癌的关系和治疗方法。方法对95例单侧单孔乳头溢液病人进行乳房B超、导管造影、细胞病理学检查,并结合手术病理学检查进行分析。结果鲜红色血性溢液8例,其中乳癌2例,导管内乳头状瘤5例,导管扩张症1例;暗红色或咖啡色血性溢液33例,其中乳癌6例,导管内乳头状瘤21例,导管扩张症4例,乳腺增生症2例;淡黄色浆液性溢液29例,其中乳癌1例,导管内乳头状瘤5例,导管扩张症15例,乳腺炎4例,乳腺增生症4例;清亮透明性溢液25例,其中导管内乳头状瘤5例,导管扩张症13例,乳腺炎2例,乳腺增生症5例。结论乳头血性及淡黄色浆液性溢液均应引起高度重视,发现后应及时手术以防癌变;导管微切术是目前有效的治疗方法。Objective To discuss the different nature of nipple discharge and its association with breast cancer. Methods Ninety-five patients with single-side and single-duct nipple discharge underwent breast ultrasonography, ductography, and cell pathology examination, the findings were analyzed by combination with the operation. Results Of the 95 cases, bright-red bloody discharge was seen in eight cases, of whom, there were breast cancer （2 cases）, intraductal papilloma 5 and ductal ectasia 1 ; madder red discharge was seen in 33 cases, of whom, breast cancer （6 cases）, intraductal papilloma 21, ductal ectasia 4, cyclomastopathy 2; nankeen serosity discharge： 29 cases, of whom, cancer 1, intraductal papilloma 5, ductal ectasia 15, mastitis 4; bright and transparent discharge： 25 cases, of whom, intraductal papilloma 5, duetal ectasia 13, mastitis 2 and hyperplasia of mammary glands 5. Conclusion A great attention should be paid to bloody or yellowish nipple discharge, once it is discovered, an operation is needed. Microsurgery of the duct is an effective therapy for the disease.

关 键 词：乳头 体液和分泌物 乳腺肿瘤 乳房切除术 区段 

分 类 号：R737.9[医药卫生—肿瘤]