| 乳管镜临床诊治新进展 |
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| 引用本文： | 肖盟,邢芳,穆兰,王欣.乳管镜临床诊治新进展[J].中国肿瘤临床,2014,41(18):1199-1201. |
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| 作者姓名： | 肖盟 邢芳 穆兰 王欣 |
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| 作者单位： | 天津医科大学肿瘤医院乳腺肿瘤一科, 国家肿瘤临床医学研究中心, 天津市肿瘤防治重点实验室, 乳腺癌防治教育部重点实验室(天津市 300060) |
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| 基金项目： | 天津市肿瘤医院临床创新应用技术基金LC017 |
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| 摘 要： | 乳头溢液患者的检查方式主要采用彩色超声、乳腺钼靶X线摄片、乳头溢液涂片、乳腺导管造影等方法, 检测的结果均是间接征象, 且阳性率较低。纤维乳管内视镜(FDS)可直接观察乳管内病变, 明确病理性乳头溢液病因及导管内占位性病变的性质, 在FDS直视下放置定位针可准确判断乳管内病变的位置, 提高早期乳腺癌的检出率, 及时采取适当的手术治疗, 并可对乳管扩张及乳腺炎性病变进行乳管内介入治疗。本文就FDS作为对病理性乳头溢液的一种全新的诊断和治疗方式进行综述。
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| 关 键 词： | 乳管镜 乳头溢液 诊断 治疗 筛查 |
| 收稿时间： | 2014-03-19 |
Progress in the clinical application of fiberoptic ductoscopy |
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| Institution: | The First Department of Breast Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin 300060, China |
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| Abstract: | Conventional diagnostic methods used for pathologic nipple discharge (PND) include color ultrasound, mammary molybdenum target X-ray radiography (mammography), nipple cytologic smears, and ductography. Diagnosis of PND through inspection yields indirect signs and has low positive rate. Fiberoptic ductoscopy (FDS) allows direct visualization of intra-ductal lesions, evaluates etiology of PND, and accurately locates intraductal lesions through wire marking. FDS is a valuable test for the early diagnosis of breast cancer and can help identify appropriate location for surgical excision. Interventional treatment for ductal ectasia and inflammation is also efficient. Our study discusses FDS as a novel diagnosis and treatment method for PND patients. |
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