乳头溢液的影像学诊断

目的：评价乳腺导管造影和钼靶X线平片摄影在乳头溢液患者诊断中的临床价值。方法：回顾性分析50例乳头溢液患者的钼靶X线检查资料，所有病例均经临床检查，钼靶X线平片摄影、乳腺导管造影检查及病理学检查确诊。结果：良性病变47例，其中乳腺导管内乳头状瘤35例，乳腺囊性增生病7例，导管扩张5例；乳腺导管癌3例；乳头溢液伴肿块者19例。乳腺钼靶X线平片摄影发现14例乳头溢液伴肿块者X线表现异常，乳腺导管造影发现导管内乳头状瘤28例（28／35），乳腺增生病2例（2／7），导管扩张症4例（4／5），乳腺导管癌1例（1／3）。结论：乳腺导管造影用于诊断乳腺导管系统疾病较为准确可靠，乳腺钼靶X线平片摄影对乳头溢液的诊断价值不大，一定条件下两者可联合应用。

Radiographic Diagnosis in Patients with Nipple Discharge

Objective To evaluate the clinical value of galactography and mammography in patients with nipple discharge.Methods Mammographic files of 50 patients with nipple discharge were analyzed retrospectively.All cases were proved by clinical,molybdenum target radiogram,galactography and pathology.Results 47 cases were benign diseases,including intraductal papilloma 35 cases,fibrocystic proliferation 7 cases,mammary ductal ectasia 5 cases;3 cases were ductal carcinoma;nipple discharge associated with palpable mass 19 cases.14 of nipple discharge with mass had abnormal findings on screening mammography.28 intraductal papilloma(28/35),2 mammary ductal ectasia(2/7),4 fibrocystic proliferation(4/5) and 1 ductal carcinoma(1/3) showed abnormal findings on galactography.Conclusion Galactography is accurate and reliable for breast duct disease diagnosis,mammography provides less value,both of them may be used on certain condition.