185例乳头溢液临床病理分析

185 Patients with Nippie Discharge were Analysed

本文报道185例乳头溢液,其中100例溢液为浆液性,65例为血性,15例为乳汁性,5例为脓性。病理证实:61例乳腺增生占32.4%,56例导管内乳头状瘤占30.3%,47例导管扩张占25.4%,21例乳腺癌占11.3%。通过本组185例乳头溢液临床病理分析发现,乳头溢液病因以良性乳腺病为最常见,占与88.7%;乳腺癌少见,占11.3%。在乳头溢液中伴有乳腺内肿物者,穿刺细胞学检查的方法有高的敏感性及特异性。

185 patients with nipple discharge were analysed. 100 patients with serous discharges, 65 patients with bloody discharges. Diagnoses of etiology were confirmed from pathology: Breast hyperplasia was the cause in 61 (32.4%), intraductal papilloma in 56 patients (30.3%), duct ectasia in 47 patients (25.4%) and breast cancer in 21 patients (11.3%). Of the 185 cases, benign etiology was the cause in 164 patients (88.7%), breast cancer in 21 patients (11.3%). Fine needle aspiration cytology showed high sensitive and specificity in etiologic diagnoses for nipple discharge with a palpable mass.