乳腺导管内乳头状瘤的临床诊断分析

目的:理证实的导管内乳头状瘤54例,对照溢液细胞学涂片与组织病理进行回顾性分析,以提高诊断水平。材料与方法:临床表现有乳头溢液并经手术、病理证实的导管内乳头状瘤54例,术前进行细胞涂片,然后进行乳腺导管造影检查,回顾性分析其细胞学涂片及导管造影与手术病理结果进行对比分析。结果:54例经手术切除组织病理学诊断为导管内乳头状瘤中,术前细胞学检查诊断正确者39例,误诊15例,其中8例误诊为导管上皮乳头状增生,2例误诊为乳腺癌,5例误诊为导管炎症,诊断符合率为72.2%;导管造影术前正确诊断50例,3例诊断为导管炎症并增生,1例技术原因漏诊,诊断符合率为92.6%。结论:对于无明显肿块的乳头溢液患者,乳头溢液的细胞学检查及导管造影对诊断导管内病变是可信赖的方法。两种检查方法相结合,有助于本病的正确诊断。

Breast Intraductal Papilloma Clinical Diagnosis Analysis

Purpose： confirm the intraductal papilloma in 54 cases, the control fluid cytology smears and pathology were retrospectively analyzed, in order to improve the diagnostic level. Materials and Methods： the clinical manifestation of a nipple and confirmed by operation, pathology intraductal papilloma in 54 cases, preoperative smears, and galactography, a retrospective analysis of the cytological smears and catheter angiography and operation pathology results were analyzed. Results ：54 cases after operation by histopathologic diagnosis of intraductal papilloma, preoperative cytology diagnosis of right in 39 cases, 15 cases were misdiagnosed, of which 8 cases were misdiagnosed as ductal papillary hyperplasia, 2 cases were misdiagnosed as breast cancer, 5 cases were misdiagnosed as ductal inflammation, diagnostic coincidence rate was 72.2% ; catheter angiography preoperative correct diagnosis in 50 cases, 3 cases were diagnosed as duetal inflammation and hyperplasia, 1 cases of technical causes of missed diagnosis, diagnosis coincidence rate is 92. 6%. Conclusion： For no obvious tumor patients with nipple discharge, nipple discharge cytology and galactography in the diagnosis of intraductal lesions is a reliable method. Two methods in combination, contribute to the correct diagnosis.