乳腺导管内乳头状瘤病103例报告

目的分析乳腺导管内乳头状瘤病与乳腺癌的关系并提出治疗方法。方法回顾性分析103例乳腺导管内乳头状瘤病，从临床特征、病理特点及治疗效果等方面进行分析、总结。结果103例中，女性102例，男性1例，全部依靠病理确诊。首诊误诊率高(62．1％)。局部切除18例，区段小叶切除62例，单纯切除术12例，伴有局部癌变者行乳癌改良根治术9例、单纯切除术2例。13年内复发12例，达11．7％，癌变7例，达6．8％。结论本病与乳腺癌的关系密切，其鉴别仍依靠组织病理学方法，治疗应予手术切除。

A report of 103 cases of breast intraductal papillomatosis (BIDP)

Objective To analyze the relationship between BIDP and breast cancer, and to evaluate the treatment of BIDP. Methods 103 cases of BIDP were studied retrospectively in respect of its clinical and pathological features, diagnosis, and treatment. Results Among the patients, there were 102 women and 1 man. The diagnosis was all verified by pathological examination. The rate of misdiagnosis was high(62.1%). Local excision was performed in 18 patients, regional lobular excision in 62, in nine patients modified radical mastectomy for malignant change in 9 patients, and simple excision for malignancy in 2 patients. The recurrent rate after local excision was 11.7% after 13 years, and the rate of malignant change was 6.8%. Conclusions To sum up the relationship and differentiate method between BIDP and Breast Cancer, and briefly discuss the methods of treatment.