以乳头溢血为唯一临床表现的乳腺癌一例  

A case of breast cancer with nipple hemorrhage as the only clinical manifestation

作　　者：王永南[1] 严珊珊 WANG Yong-nan;YAN shan-shan(Department of Breast Diseases,Women and Children Hospital of Guangdong,Guangzhou 511400,China;Department of Pathology,Women and Children Hospital of Guangdong,Guangzhou 511400,China)

机构地区：[1]广东省妇幼保健院乳腺科,广州511400 [2]广东省妇幼保健院病理科,广州511400

出　　处：《岭南现代临床外科》2022年第6期592-594,共3页Lingnan Modern Clinics in Surgery

基　　金：广东省医学科研基金立项课题(A2021063)。

摘　　要：收治一例以乳头溢血为唯一临床表现的乳腺癌,术前通过完善乳腺X线检查、乳腺超声、乳腺导管内镜及乳腺MRI等检查后,择期行右乳病变乳管切除活检术,术中冰冻病理提示乳腺癌,最终成功行右乳癌保乳术。对于伴有病理性乳头溢液的乳腺癌,即使乳腺超声和乳腺X线摄片检查均为阴性,应继续完善乳管镜和乳腺MRI检查避免漏诊;乳头乳晕复合体无受累及病变范围比较局限的患者,保乳手术也是可选的手术方式。A case of breast cancer with nipple hemorrhage as the only clinical manifestation has been treated. After preoperative mammography,breast ultrasound,duct endoscopy,and MRI examinations,selective duct excision were performed. Frozen suggested breast cancer,and finally successful breast-conserving surgery was performed. For breast cancer with pathologic nipple discharge(PND),even if breast ultrasound and mammography are negative,ductoscopy and MRI should be continued to avoid missed diagnosis. Breast-conserving surgery is also an option for patients with no nipple-areola complex(NAC)involvement and limited lesions.

关 键 词：乳腺癌 乳头溢血 手术 

分 类 号：R737.9[医药卫生—肿瘤]