乳头溢液性疾病58例乳腺导管内视镜下特征探讨  

Discussion of 58 cases of nipple discharge characteristics by fiberoptic ductoscopy

作　　者：蔡瑜娇[1] 王国威[2] 杨桦[1] 刘铃[1] 

机构地区：[1]第三军医大学新桥医院普通外科,重庆400037 [2]解放军第三二四医院医务处,重庆400020

出　　处：《重庆医学》2010年第16期2123-2124,共2页Chongqing medicine

摘　　要：目的探讨58例乳头溢液性疾病在乳腺导管内视镜下的特征。方法回顾性分析乳头溢液性疾病58例患者临床资料。结果 58例乳头溢液患者中乳腺导管炎32例,乳腺导管扩张14例,乳腺导管内乳头状瘤和乳腺导管内乳头状病8例,乳腺癌4例。乳腺导管炎镜下表现为病变管壁局部或广泛充血、水肿,管壁欠光滑、弹性稍差,管腔内有较多渗出物;乳腺导管扩张表现为病变管腔扩张而且通畅、管壁光滑;乳腺导管内乳头状瘤和乳腺导管内乳头状病表现为病变管壁上结节样隆起性病变,较为规则,表面光滑,病变以外管壁弹性好;乳腺癌表现为病变管壁上不规则的隆起性病变,沿内壁纵向生长形成桥样结构,管壁僵硬失去弹性。结论乳头溢液患者的乳腺导管内视镜下特征是疾病诊断的重要依据。Objective To discuss the characteristics of 58 cases of nipple discharge by fiberoptic ductoscopy.Methods The clinical and pathological data of 58 cases of nipple discharge were reviewed.Results Among 58 cases,galactophoritis was found in 32 cases,ductal ectasis was found in l4 cases,papilloma and papillomatosis were found in 6 cases and 2 cases,breast cancer was found in 4 cases.Conclusion Fiberopic ductoscopy characteristics is important in diagnosing breast desease with nipple discharge.

关 键 词：乳头溢液 乳腺导管内视镜 特征 诊断 

分 类 号：R655.8[医药卫生—外科学]