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目的 探讨乳腺结构不良症囊悸增生期的临床诊断标准及治疗原则。方法 回顾性分析７６例囊肿增生病例。结果 ７６例中,有８例重度不典型 ,６例乳头状瘤样增生,４例腺管型腺病,其它仅上皮增生。１列腺瘤样增生肿块切除,１０年后有恶变现象。结论 乳腺结构不良症的囊性增生期,临床诊断标准关键在于发病年龄为４０岁左右及无规律性乳痛,一侧肿块,组织学为导管上皮不典型增生为特点而决定诊治原则。为防止恶变及恶性病变漏诊

Investigation in diagnosis and therapy on cystic hyperplasia of mammary dysplasia:a report of 76 cases

Objecitve To study the principle of clinical diagnosis and therapy of cystic hyperplasia of mammary dysplasia.Methods Among 196 patients suffering from mammary dysplasia collected from 1986 to 1996 in Department of Surgery,The First Teaching Hospital of Henan Medical University,totally 76 cases were diagnosed as cystic hyperplasia of mammary dysplasia.A retrospective analysis of clinical characteristics and therapeutic methods was evaluated.Results Among 76 cases there were 8 cases of severe atypical hyperplasia,6 cases of papillary hyperplasia,4 cases of tubular adenosis and others were simple hyperplasia.Only one case of adenosis showed malignant change 10 years after operation.Conclusion The keys of clinical diagnosis are prevalence age,which is about 40 years old,irregular mastodynia and unilateral mass.Atypical dysplasia of ductal epithelium comfirmed by histology may determine the principle of diagnosis and therapy.It is necessary to make routine pathologic examination to prevent malignant change and missing diagnosis.