乳腺导管扩张症(附121例报告)

MAMMARY DUCT ECTASIA (A REPORT OF 121 CASES)

目的 探讨乳腺导管扩张症的病因、病理、临床分型、诊断与治疗.方法 分析1961年至1998年经手术病理证实的乳腺导管扩张症121例的临床资料.结果 根据临床表现可分为5种类型,即隐匿、肿块、脓肿、瘘管及共存型.提出诊断乳腺导管扩张症的应注意7点.根据临床分型可分别采用非手术疗法和不同的手术方式:乳管切除术、肿块局部切除术、乳腺区段切除术、单纯乳房切除术、切开引流术、瘘管切除术、乳房根治术.结论 乳腺导管扩张症有5种临床类型.根据临床表现,乳腺X线照片,乳腺导管造影及细针穿刺抽吸细胞学检查可以做出诊断.手术是治疗的主要手段.

Objective :To investigate the etiology, pathology, clinical typing, diagnosis and treatment of mammary duct ectasia. Methods: Analyzing the clinical data of 121 cases of mammary duct ectasia proved by operation and pathology from 1961 to 1998. Results:It can be divided into 5 types by clinical manifestation: latent, mass, abscess, fistula and coexist type.7 points for attention while diagnosis were raised in the article, Patients can be treated by conservative treatment or operation, which includes ductecto-my, lumpectomy, segmentectomy, simple mastectomy, incision and drainage, fistulectomy and radical mastectomy. Conclusion :There are 5 clinical types of mammary duct ectasia. Diagnosis can be drawn by clinical manifestation, mammogram, galactography and fine needle aspiration biopsy.Operation is the main method to cure the disease.