乳管镜临床诊治新进展  

Progress in the clinical application of fiberoptic ductoscopy

作　　者：肖盟[1] 邢芳[1] 穆兰[1] 王欣[1] 

机构地区：[1]天津医科大学肿瘤医院乳腺肿瘤一科,国家肿瘤临床医学研究中心,天津市肿瘤防治重点实验室,乳腺癌防治教育部重点实验室,天津市300060

出　　处：《中国肿瘤临床》2014年第18期1199-1201,共3页Chinese Journal of Clinical Oncology

基　　金：天津市肿瘤医院临床创新应用技术基金(编号:LC017)资助~~

摘　　要：乳头溢液患者的检查方式主要采用彩色超声、乳腺钼靶X线摄片、乳头溢液涂片、乳腺导管造影等方法,检测的结果均是间接征象,且阳性率较低。纤维乳管内视镜(FDS)可直接观察乳管内病变,明确病理性乳头溢液病因及导管内占位性病变的性质,在FDS直视下放置定位针可准确判断乳管内病变的位置,提高早期乳腺癌的检出率,及时采取适当的手术治疗,并可对乳管扩张及乳腺炎性病变进行乳管内介入治疗。本文就FDS作为对病理性乳头溢液的一种全新的诊断和治疗方式进行综述。Conventional diagnostic methods used for pathologic nipple discharge （PND） include color ultrasound, mammary mo-lybdenum target X-ray radiography （mammography）, nipple cytologic smears, and ductography. Diagnosis of PND through inspection yields indirect signs and has low positive rate. Fiberoptic ductoscopy （FDS） allows direct visualization of intra-ductal lesions, evaluates etiology of PND, and accurately locates intraductal lesions through wire marking. FDS is a valuable test for the early diagnosis of breast cancer and can help identify appropriate location for surgical excision. Interventional treatment for ductal ectasia and inflamma-tion is also efficient. Our study discusses FDS as a novel diagnosis and treatment method for PND patients.

关 键 词：乳管镜 乳头溢液 诊断 治疗 筛查 

分 类 号：R655.8[医药卫生—外科学]