自发性乳头溢液的临床诊疗思路及手术选择  

Clinical consideration for diagnosis and surgery of spontaneous nipple discharge

作　　者：杨泽娟[1] 李国康[1] 袁韶倩 黄琼刁[1] 

机构地区：[1]广州中医药大学附属广州市中医医院乳腺科,广州510130

出　　处：《岭南现代临床外科》2015年第5期629-631,共3页Lingnan Modern Clinics in Surgery

摘　　要：乳头溢液常由乳腺导管良恶性肿瘤、乳腺导管炎症及乳腺导管扩张症导致。对于单孔、持续、自发性的溢液患者,选择简单、无创的彩超和钼靶检查可明确乳房有无肿物及钙化情况,结合乳腺纤维导管镜能明确溢液病因病位。对于导管内肿瘤所致的乳头溢液,应采取手术治疗,防止肿瘤癌变。对于溢液与肿块或钙化并存的患者,应辨明病灶个数,手术切除全部病灶,避免漏诊。Nipple discharge is often caused by breast benign or malignant tumor,mammary duct inflammation and mammary duct expansion.The patients with sigle hole,continuous,spontaneous nipple discharge should be examined by simple and noninvasive breast ultrasound and X-ray which can discover the breast mass and calcification,.by mammary gland fiber duct endoscopy which can clear discharge causes and location.In order to prevent the intraductal tumor to cancer,the nipple discharge caused by intraductal tumor should be taken to surgery.To avoid missed diagnosis,the patients with both nipple discharge and breast lumps or calcification should be coufirmed the number of lesions before surgery.And all the lesions should be removed surgically.

关 键 词：自发性 乳头溢液 诊疗 

分 类 号：R655.8[医药卫生—外科学]