乳头溢液306例诊断与治疗分析

目的 探讨单纯性乳头溢液的诊断及治疗措施,明确乳腺病变与乳头溢液性质的关系. 方法 对我院确诊的乳头溢液306例的临床资料进行分析. 结果 本组术后病理检查示乳腺导管炎占32.68%,乳腺导管扩张症占28.10%,乳管内乳头状瘤或乳头状瘤病占16.67%,小叶囊性增生占15.03%,乳腺癌占3.27%,导管发育不良占2...

The Diagnosis and Treatment of 306 Cases of Nipple Discharge

Objective To investigate the diagnosis,differential diagnosis and treatment of simple nipple discharge,and to identify the relationship between breast duct disease and nipple discharge.Methods The clinical data of 306 cases of nipple discharge was respectively analyzed.Results According to the pathological results,breast inflammation accounted for 32.68%,mammary duct ectasia accounted for 28.10%,intraductal papilloma or papillomatosis accounted for 16.67%,lobular cystic hyperplasia accounted for 15.03%,breast cancer accounted for 3.27%,duct dysplasia accounted for 2.94%,benign breast tumor accounted for 1.31%.Fluor flavus was the most manifested in breast inflammation（35.00%）,mammary duct ectasia（29.07%） and duct dysplasia（44.44%）.Hemal liquorrhoea was the most manifested in intraductal papilloma / papillomatosis（43.14%） and breast cancer（90.00%）.Serous discharge was the most manifested in lobular cystic hyperplasia（45.65%） and benign breast tumor（75.00%）.10 cases of breast cancer received modified radical operation,and 2 cases of severe papillomatosis received total resection of breast.All the 306 cases were cured with no recurrence during the follow up of 1 to 3 years.Conclusion Nipple discharge may be caused by many diseases and related to breast cancer.Detailed information of characteristics of liquorrhoea and proper detecting method are important in diagnosis,treatment and prognosis of the disease.