摘要
目的 探讨乳头溢液的诊断及治疗方案。方法 对 12 8例乳头溢液 (血性溢液 5 2例 ,非血性溢液76例 )行导管造影 ,根据造影情况决定治疗方法。结果 本组 12 8例 ,82例病变导管扩张并有充盈缺损 (4 9例乳晕区可触及小肿块 ) ,2 0例仅有导管扩张 ,全部病例均行溢液导管区段切除术 ,并送快速冰冻切片病理检查 ,根据病理情况决定是否扩大手术。其中 14例冰冻切片病理检查证实为导管内乳头状癌 ,行乳癌改良根治术。 12 8例均治愈。随访 1～ 3年无复发。结论 乳头血性溢液伴乳腺肿块者恶性可能性大。溢液导管区段切除应完整切除溢液导管系统 。
Objective To discuss the diagnosis and treatment method for breast secretion. Methods 128 cases of breast secretion patient (bloody secretion 52 cases and non bloody secretion 76 cases) were underwent catheterization graph and treatment method was selected with the results. Results There were 82 cases that lesion had caused the duct dilation with filling and defect on the graph (49 cases had mass at areola of breast). Only had 20 cases the duct dilation. All the cases had undergone the involved segmental resection and rapid cryopathology was detected to determine whether the radical operation was needed . 14 cases were papillary carcinoma of duct that obtained the diagnosis with pathology and the improved radical operation were performed. 128 cases were healed with 1～3 years follow-up. Conclusion There might be the malignant tendency when the breast secretion is bloody and the involved segmental resection should be performed completely to avoid the misdiagnosis.
出处
《黑龙江医学》
2004年第9期663-664,共2页
Heilongjiang Medical Journal
