乳头溢液疾病的乳管镜下鉴别诊断

Diagnosis and differentiate of nipple discharge by fiberoptic ductoscopy

目的 :评价乳管内视镜在乳头溢液诊治中的临床作用。方法 :使用日本制造的 FV - 2 0 0 0 E乳管内视镜 ,导管有粗细两种 ,其直径分别为 0 .7m m和 0 .5 mm。结果 :本组 2 8例 ,发现早期乳癌 3例 ,乳管内乳头状瘤 8例 ,乳管扩张症和浆细胞性乳腺炎 17例。诊断符合率为 10 0 %。结论 :乳管内视镜可插入 5级乳腺导管 ,定位、定性准确 ,能早期发现乳癌。

This study evaluated the clinical effect of Breast Fiberoptic Ductoscopy(FDS) in diagnosis and treatment of abnormal nipple discharge.Methods:The author applied FV-2000E type superfine fiberoscopy system made in Japan.There were two kinds of FDS with outer diameters 0.7 and 0.5 mm.Rseults:Ductal ectasis was found in 10 cases:galactophoritis was found in 7 cases;papilloma and paillomatosis were found in 6 cases and 2 cases;early breast cancer 3 cases.Conclusions:FDS was available for 5th ductal lunen and can detect early breast cancer.