乳管内乳头状瘤临床X线表现与病理对照分析

Intraductal Papilloma of the Breast: Comparison of ClinicalJZMammographic and Pathologic Findings

目的：探讨乳头状瘤Ｘ线平片、导管造影的Ｘ线表现及其与临床、病理的关系。材料与方法：回顾性分析２１例乳管内乳头状瘤的临床特点，乳房Ｘ线平片，导管造影表现及病理改变；并根据病变大小、形态，病变处导管形态及二者的关系，在导管造影片上进行Ｘ线分型且与病理改变进行对比。结果：２１例均有单个乳孔溢液，血性１８例，乳晕区触及肿块３例。乳房Ｘ线平片示乳晕下区肿块４例，左乳晕下区扩张导管１例。导管造影：２１例均示导管内充盈缺损，其中１９例并导管扩张。管内型９例，囊内型９例，实体型３例。Ｘ线表现与病理改变一致。结论：乳管内乳头状瘤最常见的临床表现是单个乳孔溢液，乳腺Ｘ线平片征象少；导管造影特点是管内充盈缺损，对乳头状瘤具有确诊价值。

Purpose: To determine the mammographic findings of the intraduct papilloma of the breast and to correlate these findings with the clinical and pathological features. Materials and Methods: We had retrospectively analysed manifestations of mammograms, galactograms and pathological findings in 21 cases. According to the size and shape of the lesion and the relationship between duct and lesion. The papilloma was typed on the galactograms. Mammographic manifestations were compared with pathologic findings. Results: All of the patients had nipple discharge. 18 cases were bloodstained and three were serous. Three patients had palpable masses in subareola. The masses were found in 4 cases and one dilated duct in subareolar region on mammograms. Galactograms showed introluminal filling defect in all patients; ductal dilation in 19 cases. There were intraduct type in 9 cases, intracyst type in 9 cases and solid type in 3 cases. The mammographic findings were in conformity with their pathology Conclusion: Most patients with intraductal papilloma of the breast have nipple discharge and galactographic filling defect. Galactography is useful for diagnosing papilloma.While few could be found in mammograms imaging.