溢液性乳腺病乳导管造影诊断

The diagnosis and differentiation of diseases with nipple discharge by galactography

目的探讨乳导管造影对溢液性乳腺病变的诊断和鉴别诊断价值。方法回顾性分析经手术、病理证实的112例(123乳)溢液性乳腺病乳导管造影表现。结果单纯性乳导管扩张症11例,导管均匀扩张,管壁光滑;单纯性乳导管炎3例,导管树变细,管壁光整;乳导管扩张伴炎症45例,导管树不按比例扩张增粗;乳导管内乳头状瘤46例,圆形、类圆形充盈缺损,导管呈“杯口状”中断,多发乳头状瘤和乳头状瘤病表现为多支导管充盈缺损,导管节段性显示,边缘光滑;乳导管癌7例,乳导管不规则充盈缺损或中断,导管壁僵硬。结论乳导管造影对溢液性乳腺病诊断和鉴别诊断有重要价值。

Objective To assess the value of galactography in the differcntial diagnosis of breast lesions with nipple discharge. Methods The galactographic findings of 112 cases of nipple discharge, accompanied by the records of operation and pathology, were retrospeetively analyzed. Results It was found that 11 cases of mammoductal ectasis were characterized by ductal dilatation and smooth walls; 3 cases of mammary- ductal mastitis showed ductal tree thinning and smooth walls; 45 cases of ductoectasis complicated by infection showed irregular ductal dilatation; 46 cases of intraductal papilloma showed ovoid or round filling defects and ＂cupping＂ abruption in one or more ducts; 7 cases of ductal carcinoma showed irregular filling defects or abruption with ductal stenosis. Condusion Galactography is an important method for diagnosing and differentiating mammoglandular diseases with nipple discharge.