乳腺导管造影在乳腺导管占位性病变中的应用

Galactography Application in the Space-Occupying Disease of the Breast Duct

目的探讨乳腺导管造影在乳腺导管占位性病变诊断中的应用价值。方法回顾性分析乳腺导管造影、乳腺钼靶X线摄影和外科手术病理证实的48例乳腺肿瘤资料,外科病理证实的导管内乳头状瘤10例,导管内乳头状癌6例,导管原位癌8例,浸润性导管癌22例,黏液腺癌5例,浸润性小叶癌2例。结果 48例乳腺导管造影表现:①病变位于I级导管内17例,Ⅱ级导管内26例,Ⅲ级导管内5例;②导管内不规则充盈缺损12例;③导管截断5例;④导管壁僵硬,管腔不规则狭窄18例。结论乳腺导管造影术是诊断乳腺导管占位性病变有效的检查和诊断方法。

Objective To investigate galactography in the application value in diagnosis of the occupying disease of the breast duct. Methods To retrospectively review 48 Cases of Confirmed breast tumor of galactography, breast molybdenum target mammography, surgical operation and pathology, including intraductal papilloma 10 cases; intraductal pailllcarcinoma 6 cases; ductal carcinoma in situ 8 cases;infiltrating ductal carcinoma 22 cases; mucinous cases. Results Galactography of 45cases： ① cases ; HI catheter 5 cases. ②Intraductal irregular adenocarcinoma 5 cases;infiltrating lobular carcinoma 2 Lesions located filling defect 26 in the I catheter 17 cases; cases. ③Catheter truncation II catheter 6 14 cases. ④The catheter wall stiffness, the irregular stenosis 18 cases. Conclusion Galactography is the effective inspection and diagnosis method for breast lesions diagnosis.