病理性乳头溢液病因的再认识

Etiology of pathological nipple discharge ： 81 cases analysis

目的认识病理性乳头溢液的病因。方法从1990年来，对连续81例浆液性或血性乳头溢液患者行乳管切开检查。结果发现乳管内乳头状瘤67例，乳管内乳头状瘤病5例，导管癌6例，3例未找到病变。结论可能只有乳头状瘤（病）和导管癌是病理性乳头溢液的病因。

Objective To clarify the etiology of pathological nipple discharge. Methods Since 1990, 81 patients with pathological nipple discharge underwent mammary duct incision to identify the lesion. Results 67 patients had intraductal papilloma, 5 patients had intraductal papillomatosis, 6 patients had duct carcinoma, and 3 patients were not found pathological changes. Conclusions Intraductal papilloma, intraductal papillomatosis, and duct carcinoma might be the exclusive etiology of pathological nipple discharge.