乳头溢液514例分析

目的 :探讨乳头溢液的病因和诊断方法 ,有效降低乳腺疾病的发生。方法 :采用乳头溢液涂片检查对 5 14例乳头溢液病例进行回顾性分析。结果 :乳腺导管内乳头状瘤 31.13% ,乳腺囊性小叶增生 2 2 .5 7% ,乳腺癌 14 .78% ,导管扩张症 13.0 4 % ,乳腺炎 12 .4 5 % ,其他 6 .0 3%。结论 :乳头溢液脱落细胞学检查是乳头溢液病因及诊断的首选检查 ,近红外线扫描检查有助于诊断。半数以上≥ 5 0岁乳头溢血患者是乳腺癌患者。早诊、早治溢液性乳腺疾病是防止乳腺癌的重要措施。

Report on 514 cases of nipple discharge

Objective:To discuss the cause and diagnostic methods of nipple discharge, thus effectively lower the chance of getting breast tube disease. Methods: Examine the smear of 514 nipple discharge cases and check the retro analysis results. Results: It showed intraductal papillomas (31.13%), hyperplasia of mammary glands (22.57%), breast tube cancer or cancerous change of intraductal papillomas (14.78%), dilatation of breast tube (13.04%), mammitis (12.45%) and others (6.03%). Conclusion: Cytological examination of nipple discharge is the first choice to diagnose the cause of nipple discharge. Near infrared scanning diagnosis is also helpful. More than half of the blood discharges of nipple patients who are older than fifty are breast tube cancer patients. Early examination and treatment of discharge is an important factor to prevent breast tube cancer.