全数字化乳腺导管造影在乳头溢液性疾病中的应用  

The Application of FFDM Galatograghy in Nipple Discharge Disease

作　　者：高之振[1] 马诚诚[1] 顾素英[1] 杨菊萍[1] 周伟[1] 陆慧娟[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院放射科,233004

出　　处：《中华全科医学》2011年第11期1796-1797,共2页Chinese Journal of General Practice

摘　　要：目的探讨全数字化乳腺导管造影在乳头溢液性疾病的应用价值。方法回顾分析121例经手术病理证实的全数字化乳腺导管造影与其常规钼靶X线片的影像学特征,结合病理学,对照诊断。结果全数字化乳腺导管造影影像学诊断:乳腺导管扩张症36例,导管内乳头状瘤43例,乳腺囊性增生病12例,乳腺导管扩张伴炎症9例,导管原位癌15例,浸润性导管癌6例。病理结果:乳腺导管扩张症36例,导管内乳头状瘤45例,乳腺囊性增生病10例,乳腺导管扩张伴炎症9例,导管原位癌14例,其中1例导管内癌伴早期浸润,浸润性导管癌6例。与病理诊断对照,全数字化乳腺导管造影的诊断正确率为96.7%。结论全数字化乳腺导管造影对乳头溢液性疾病的诊断,对良恶性的鉴别有重要的临床应用价值,能够为外科手术提供依据和手术路径。Objective To explore the application value of digital galactography in the diagnosis of nipple discharge disease.Methods The galactography and routine mammography image feature of 121 pathologically confirmed patients were analyzed retrospectively,a contrast diagnosis combined with pathology was made.Results The galactography image showing：36 cases were diagnosed as mammary duct ectasia（MDE）,43 intraductal papilloma,12 cystic hyperplasia of breast,9 duct ectasia with inflammation,15 DCIS（ductal carcinoma in situ）,and 6 invasive ductal carcinoma.Pathology results：36 cases were diagnosed as mammary duct ectasia,45 intraductal papilloma,10 ductal cystic ectasia,9 duct ectasia with inflammation,14 DCIS（ductal carcinoma in situ）.1 of the 121 cases was invasive intraductal carcinoma of early stage,6 invasive carcinoma.Compared with pathological diagnosis,correct diagnosis rate of galactography was 96.7%.Conclusion Digital galactography played an important role in the diagnosis of nipple discharge disease and differential diagnosis of the benign and malignant breast duct tumor,and provide guidance and approach for the surgery.

关 键 词：全数字化乳腺摄影 乳腺导管造影 乳头溢液 

分 类 号：R814.43[医药卫生—影像医学与核医学] R655.83[医药卫生—放射医学]