乳腺导管造影钼/铑靶诊断乳头溢液性质的分析

The Comparison between angiography diagnosis of mammary duct with molybdenum-rhodium twin target X-ray and nature of nipple discharge

目的:评估钼/铑双靶X线乳腺导管造影结果与乳头溢液性质的关系。方法:运用钼/铑双靶乳腺导管造影对300例乳头溢液患者进行照片检查。结果:乳腺癌21例(7%),乳头状瘤150例(50%),导管扩张81例(27%),炎症13例(4.3%),囊肿12例(4%),乳腺增生症14例(4.7%),阴性9例(3%)。结论:①乳头溢液是导管内乳头状瘤的特征性临床表现。②乳腺癌在血性溢液占比例最高,共18例(85.7%)。③血性、浆液性、清水样三类溢液中,乳头状瘤比例都最高,注意与乳腺癌鉴别。

Objective： To evaluate the relationship between the result of anglography of mammary duct with molybdenum - rhodium twin target and the nature of nipple discharge. Methods： 300 cases of nipple discharge were examined with anglography of mammary duct with molybdenum - rhodium twin target. Results： 21 cases （7%） were found breast cancer, 150 cases （50%） papilloma, 81 cases （27%） mammary duct ectasia, 13 cases （4. 3% ） inflammation, 12 cases （4%） cyst, 14 cases （4. 7% ） mammary hyperplasia, and 9 cases （4%） showed negative. Conclusion： Nipple discharge is clinical features of papilloma; 18 cases of breast cancer （85.7%） showed the highest ratio in the patients with bloody nipple discharge; the cases of papilloma ranked the top among three types of discharges, bloody, serous and watery and bloody discharge is presented more than other two. Attention should be paid to differential diagnosis with breast cancer.