乳管内乳头状瘤临床X线表现与病理对照分析

目的 探讨乳头状瘤X线平片、导管造影的X线表现及其与临床病理关系。方法 回顾性分析40例乳管内乳头状瘤的临床特点，乳房X线平片，导管造影表现及病理改变；并根据病变大小、形态，病变处导管形态及二者的关系，在导管造影片上进行X线分型且与病理改变进行对比。结果 40例均有单个乳孔溢液，血性26例，乳晕区触及肿块6例。乳房X线平片示乳晕下区肿块5例。导管造影：40例均示导管内充盈缺损，其中9例并导管扩张。管内型28例，囊内型9例，实体型3例。X线表现与病理改变一致。结论 乳管内乳头状瘤最常见的临床表现是单个乳孔溢液，乳腺X线平片征象少；导管造影特点是管内充盈缺损，对乳头状瘤具有确诊价值。

Intradutal Papilloma of the Breast:Comparison of Clinical Mammographic and Pathologic Findings

Objective To determine the mammographic findings of the intraduct papilloma of the breast and to correlate these findings with the clinical and pathological features. Methods We had retrospectively analyzed manifestations of mammograms, galactograms and pathological findings in 40 cases, according to the size and shape of the lesion and the relationship between duct and lesion. Classified on the galactograms, mammographic manifestations of the papilloma were compared with pathologic findings. Results All of the patients had nipple discharge, 26 cases were bloodstained and six patients had palpable masses in subareola. The masses were found in 5 cases and one dilated duct in subareolar region on mammograms, Galactograms showed introluminal filling defect in all patients, ductal dilation in 9 cases. There were intraduct type in 28 cases, intracust type in 9 cases and solid type in 3 cases. The mammographic findings were in conformity with their pathology. Conclusion Most patients with intraductal papilloma of the breast have nipple discharge and galactographic filling defect. Galactograhy is useful for diagnosing papilloma, while few could be found in mammograms imaging.[