乳腺导管内乳头状瘤的诊断与外科治疗(附51例报告)

Diagnostic and surgical treatment of intraductal papilloma of breast

目的 总结分析乳腺导管内乳头状瘤的诊断与外科治疗经验与方法 ,提高对本病合理的处理水平。方法 回顾性分析我院 5 1例经手术病理证实的导管内乳头状瘤的临床资料。结果 导管造影检查的敏感性为 74 5 % ( 38/ 5 1) ;定位准确率为 98% ( 5 0 / 5 1)。通过美蓝法手术切除病灶 ,安全 ,准确 ,彻底。切口应用简易细引流管后 ,无一皮下积液与血肿 ,愈合良好。结论 导管造影仍是目前导管内乳头状瘤诊断较可靠的方法 ;确诊患者均应手术治疗 ,应用简易细引流管可减少术后并发症的发生。对血性溢液患者均应警惕癌变的可能。

Objective To summarize the experience and method of diagnostic and surgical treatment of intraductal papilloma of breast. Methods The clinical features of 51 cases with intraductal papilloma of breast determined by pathology were reviewed. Results The galactography sensitivity with intraductal papilloma of breast was 74.5%(38/51); localization exact rate was 98%(50/51). Conclusion Radiographs with galactography of intraductal papilloma of breast is a simple and basic radialogic method. The lesions must be resected, Applications of the simple and easy microdrain decrease the postoperative complications. We must notice carcinomatous change of this disease nipple discharge of blood.