乳腺导管扩张症38例分析

１９９０年１月至１９９４年１２月我院收治均经手术及病理证实的乳腺导管扩张症３８例，并结合文献报告的５３１例，对本病的临床特点进行了总结。乳腺局部出现肿块（７８．２１％）是最常见的临床表现，其他临床表现依次为乳头溢液（２８．４７％），乳头内陷（２１．７９％），腋窝淋巴结长大（１５．８２％），皮肤粘连（１１．２５％），乳瘘（３．８７％）等。手术切除是唯一有效、彻底的治疗方法。本组术前有２４例（６３．１５％）误诊。为了减少误诊，应特别注重细微的临床观察，井提出了有助于诊断的八点线索。

MAMMARY DUCT ECTASIA-REPORT OF 38 CASES

From Jan. 1, 1990 to Dec. 30, 1994, 38 patients with mammary duct ectasia admited to our hospital,for whom the diagnoses were confirmed by pathological examination of surgical specimens.Intensive literature review was made together with 569 cases of this group were summarized in terms of clinical features of the disease. Tumor-like mass is a most common sign(78. 21% ),and the other clinical features are: nipple discharge (28.47 % ), nipple retraction (21.79 % ), axillary node enlargement (15.82% ), skin adhesion (11.25% ) and breast fistula (3.87% ). Surgical excision of the mass is the unique effective treatment of chioce. 24 out of 38 cases were misdiagnosed other than mammary duct ectasia. Careful clinical observation and examination may reduce the chance of misdiagnosis.