选择性乳腺导管造影对导管内癌的诊断价值

目的:评价选择性乳腺导管造影对有乳头溢液导管内癌的诊断价值.方法:回顾性分析31例有乳头溢液的导管内癌资料,所有病例均行钼靶X线平片摄影、选择性乳腺导管造影检查及手术病理确诊.结果:乳腺钼靶平片有阳性征象者8例,占25.81%,选择性乳腺导管造影明确诊断28例,占90.3%.造影主要表现为大导管及分支导管管壁不规则浸润、虫蚀样破坏、僵硬及狭窄,腔内多发小充盈缺损,近端导管扩张,主导管及部分分支中断.结论:选择性乳腺导管造影对乳头溢液的导管内癌诊断具有重要价值.

Value of selective mammary ductography in the diagnosis of ductal carcinoma in situ

OBJECTIVE: To evaluate the value of selective mammary ductography in the diagnosis of ductal carcinoma in situ of breast with nipple discharge. METHODS: Files of 31 patients with ductal carcinoma in situ with nipple discharge were analyzed retrospectively. All cases were proved by molybdenum target radiogram, selective mammary ductography and pathology. RESULTS: Mammogram showed positive sign is 8 cases, which is 25.81% of all cases. Twenty-eight (90.3%) were diagnosed correctly by selective mammary ductography. The characteristic image of ductal carcinoma in situ in the mammary ductography included irregular invasion, moth-eaten destruction, rigidity and narrowing, multiple intraluminal filling defect, near portion ductal dilation, interruption in the main and branch ducts. CONCLUSION: Selective mammary ductography is of great value in the diagnosis of ductal carcinoma in situ of breast with nipple discharge.