CAJ | 학술논문

目的：总结分析伴有乳头溢液乳腺癌以及导管内乳头状瘤的乳腺导管造影X线表现，评价两者的诊断与鉴别诊断价值。方法：回顾性分析经手术和病理证实的23例乳腺癌和36例乳腺导管内乳头状瘤患者的乳腺导管造影检查影像资料。结果：乳腺癌导管造影主要表现为分支导管内不规则的充盈缺损伴导管壁破坏、导管阻塞中断、“潭湖征”等较为典型的征象；导管内乳头状瘤的导管造影主要表现为大导管内光整的充盈缺损，导管壁多无破坏，并伴有导管扩张以及导管扭曲。乳腺瘤与乳头状瘤在充盈缺损、导管壁破坏、导管完全中断、导管扩张以及“潭湖征”等X线征象上差异有统计学意义（P＜0．05）。乳腺导管造影诊断伴有乳头溢液乳腺癌和乳头状瘤的符合率分别为78．3％和80．1％。结论：不规则的充盈缺损伴导管壁破坏、导管阻塞中断、“潭湖征”等征象及发生部位上乳腺癌和乳腺导管内乳头状瘤两者各有特点，是诊断和鉴别诊断的重点。
목적：총결분석반유유두일액유선암이급도관내유두상류적유선도관조영X선표현，평개량자적진단여감별진단개치。방법：회고성분석경수술화병리증실적23례유선암화36례유선도관내유두상류환자적유선도관조영검사영상자료。결과：유선암도관조영주요표현위분지도관내불규칙적충영결손반도관벽파배、도관조새중단、“담호정”등교위전형적정상；도관내유두상류적도관조영주요표현위대도관내광정적충영결손，도관벽다무파배，병반유도관확장이급도관뉴곡。유선류여유두상류재충영결손、도관벽파배、도관완전중단、도관확장이급“담호정”등X선정상상차이유통계학의의（P＜0．05）。유선도관조영진단반유유두일액유선암화유두상류적부합솔분별위78．3％화80．1％。결론：불규칙적충영결손반도관벽파배、도관조새중단、“담호정”등정상급발생부위상유선암화유선도관내유두상류량자각유특점，시진단화감별진단적중점。
Obj ective:To analyze the galactographic features in breast cancer with nipple discharge and intraductal papilloma,and to assess their diagnostic value and differential diagnostic value.Methods:A retrospective study was per-formed to analyze the galactographic features of 23 surgically and pathologically proved breast cancer and intraductal papil-loma during September 2006 to November 2011.Results:Galactographic features of breast cancer:There were irregular in-traductal filling defects with ductal wall destruction and ductal obstruction in the peripheral ducts.Galactographic features of intraductal papilloma:there were smooth intraductal filling defects without wall destruction of the main duct,and ductal dilatation and torsion.Conclusion:The above mentioned differences in galactographic patterns such as location and changes of duct wall and lumen,in breast cancer and intraductal papilloma have their own characteristics which serves as the key to the diagnosis and differential diagnosis.