中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
2期
247-249
,共3页
乳腺导管%隆起性病变%乳头溢液
乳腺導管%隆起性病變%乳頭溢液
유선도관%륭기성병변%유두일액
Breast intraductal%Eminence lesions%Nipple discharge
目的 总结乳腺导管内隆起性病变在乳腺导管镜检查时的表现类型,指导临床对病变性质的判定.方法 对北京市大兴区妇幼保健院2009年1月至2013年1月的382例乳头溢液患者行乳腺导管镜检查,发现乳腺导管镜内隆起性病变153例(40.9％),均进行手术,分析乳腺导管镜诊断与病理组织学诊断的相互关系.结果 153例隆起性病变的镜下诊断:乳管内乳头状瘤124例,乳管内乳头状瘤病11例,乳腺导管内癌1例,浆细胞性乳腺炎伴局部增生17例.术后病理诊断:乳管内乳头状瘤122例,乳管内乳头状瘤恶变1例,乳管内乳头状瘤病11例;乳腺导管内癌1例,局部导管上皮增生3例(其中不典型增生1例),浆细胞性乳腺炎伴局部导管上皮增生15例.镜下诊断符合率:乳管内乳头状瘤98.4％;乳管内乳头状瘤病100.0％;乳管内癌100.0％;浆细胞性乳腺炎伴局部导管增生88.2％.结论 乳腺导管镜对乳管内隆起胜病变大部分能做出正确诊断,但应警惕癌前病变及恶变的误诊和漏诊.
目的 總結乳腺導管內隆起性病變在乳腺導管鏡檢查時的錶現類型,指導臨床對病變性質的判定.方法 對北京市大興區婦幼保健院2009年1月至2013年1月的382例乳頭溢液患者行乳腺導管鏡檢查,髮現乳腺導管鏡內隆起性病變153例(40.9％),均進行手術,分析乳腺導管鏡診斷與病理組織學診斷的相互關繫.結果 153例隆起性病變的鏡下診斷:乳管內乳頭狀瘤124例,乳管內乳頭狀瘤病11例,乳腺導管內癌1例,漿細胞性乳腺炎伴跼部增生17例.術後病理診斷:乳管內乳頭狀瘤122例,乳管內乳頭狀瘤噁變1例,乳管內乳頭狀瘤病11例;乳腺導管內癌1例,跼部導管上皮增生3例(其中不典型增生1例),漿細胞性乳腺炎伴跼部導管上皮增生15例.鏡下診斷符閤率:乳管內乳頭狀瘤98.4％;乳管內乳頭狀瘤病100.0％;乳管內癌100.0％;漿細胞性乳腺炎伴跼部導管增生88.2％.結論 乳腺導管鏡對乳管內隆起勝病變大部分能做齣正確診斷,但應警惕癌前病變及噁變的誤診和漏診.
목적 총결유선도관내륭기성병변재유선도관경검사시적표현류형,지도림상대병변성질적판정.방법 대북경시대흥구부유보건원2009년1월지2013년1월적382례유두일액환자행유선도관경검사,발현유선도관경내륭기성병변153례(40.9％),균진행수술,분석유선도관경진단여병리조직학진단적상호관계.결과 153례륭기성병변적경하진단:유관내유두상류124례,유관내유두상류병11례,유선도관내암1례,장세포성유선염반국부증생17례.술후병리진단:유관내유두상류122례,유관내유두상류악변1례,유관내유두상류병11례;유선도관내암1례,국부도관상피증생3례(기중불전형증생1례),장세포성유선염반국부도관상피증생15례.경하진단부합솔:유관내유두상류98.4％;유관내유두상류병100.0％;유관내암100.0％;장세포성유선염반국부도관증생88.2％.결론 유선도관경대유관내륭기성병변대부분능주출정학진단,단응경척암전병변급악변적오진화루진.
Objective To observe the types of breast intraductal eminence lesions.Methods Three hundred and eighty-two patients with no breast milk sample of nipple discharge were examined using ductoscopy in Daxing materal and child health hospital in Beijing city from January 2009 to January 2013.Of them 153 patients were found suffering intraductal eminence lesions (40.9％ of nipple discharge) and were treated with operation.Results The ductoscopy diagnosis of 153 patients with eminence lesions was as follows:124 cases of intraductal papilloma,11 cases of intraductal papillomatosis,1 case of intraductal carcinoma; 17 cases ofplasma cell mastitis with local hyperplasia.Post operation pathological diagnosis was as follows:122 cases of intraductal papilloma,1 case of intraductal papilloma with malignant transformation,11 cases of intraductal papillomatosis,1 case of intraductal carcinoma,3 cases of local duct epithelium hyperplasia,15 cases of plasma cell mastitis with local duct epithelium hyperplasia.The accordance rate of mammary ductoscopy diagnosis was as follows:intraductal papilloma was 98.4％ ; intraductal papillomatosis was 100.0％ ; intraductal carcinoma was 100.0％ ; plasma cell mastitis with local duct epithelium hyperplasia was 88.2％.Conclusion Mammary ductoscopy can make correct diagnosis for most breast intraductal eminence lesions,but the misdiagnosis may cause malignant transformation.
