| 253例乳头溢液的诊断与治疗 |
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| 引用本文： | 郑维 康红. 253例乳头溢液的诊断与治疗[J]. 湖南医科大学学报, 1998, 23(3): 311-313 |
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| 作者姓名： | 郑维 康红 |
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| 作者单位： | [1]湖南医科大学第二附属医院普外科 [2]中西医结合研究所 |
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| 摘 要： | 在２５３例乳头溢液患者中，导管内乳头状瘤９６例占３７．９％，囊性乳腺病７３例占２８．９％，导管扩张症４１例占１６．２％，乳腺癌３５例占１３．８％，急性化脓性乳腺炎８例占３．２％。乳晕区肿块相对乳晕外区肿块较小。乳头溢液涂片细胞学和肿块穿刺细胞学检查发现癌细胞或可疑癌细胞均有重要意义。此外，近红外线扫描检查诊断正确率高；乳头溢液的ＣＥＡ测定有助于恶性疾病的早期诊断。
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| 关 键 词： | 乳腺疾病 乳头溢液 诊断 治疗 |
The diagnosis and treatment of nipple discharge in 253 cases] |
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| W Zheng,M Wen,H Kang. The diagnosis and treatment of nipple discharge in 253 cases][J]. Bulletin of Hunan Medical University, 1998, 23(3): 311-313 |
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| Authors: | W Zheng M Wen H Kang |
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| Affiliation: | Department of General Surgery, Second Affiliated Hospital, Hunan Medical University, Changsha. |
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| Abstract: | Among 253 cases of nipple discharge, 96 cases of them were diagnosed as intracanalicular papilloma(37.9%), 73 cases as cystic disease of breast(28.9%), 41 cases as mammary duct ectasia (16.2%), 35 cases as breast cancer(13.8%) and 8 cases as acute suppurative mastitis(3.2%). The masses beneath areolar region were smaller those outside areola. Finding of cancer cells or suspicious cancer cells through cytologic examination of nipple discharge smear and breast mass puncture usually had important significance. In addition, near infrared ray scanning shows high rate of correct diagnosis; estimation of carcinoembryonic autigen(CEA) in nipple discharge is beneficial to the early diagnosis of malignant diseases. |
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