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乳管镜用于乳腺导管内乳头状瘤的临床诊治研究
引用本文:吴涛,李怡,何显力,乔庆,李金茂,赵华栋. 乳管镜用于乳腺导管内乳头状瘤的临床诊治研究[J]. 现代肿瘤医学, 2012, 20(6): 1173-1174
作者姓名:吴涛  李怡  何显力  乔庆  李金茂  赵华栋
作者单位:1. 第四军医大学唐都医院普外科,陕西西安,710038
2. 第四军医大学唐都医院妇产科,陕西西安,710038
摘    要:目的:评价纤维乳管镜对乳管内乳头状瘤类疾病的诊断及治疗作用。方法:选取我科2009年8月-2011年8月经乳管镜诊断为导管内乳头状瘤患者144例,其中血性溢液78例,褐色溢液51例,深黄色溢液15例。回顾性分析其术前诊断及治疗过程。结果:所有病例在乳管镜下可见导管内肿物,并经镜下定位行病变腺叶切除,术后病理132例诊断为乳管内乳头状瘤,7例诊断为原位癌,3例为早期浸润性癌。结论:纤维光导乳管镜可准确诊断乳管内乳头状瘤,并进行定位切除。对此类疾病的诊治有重要应用价值。

关 键 词:乳腺疾病  内窥镜检查  乳头溢液

Application of Duct Endoscopy in Diagnosis and Therapy of Intraductal Papilloma
WU Tao , LI Yi , HE Xianli , QIAO Qing , LI Jinmao , ZHAO Huadong. Application of Duct Endoscopy in Diagnosis and Therapy of Intraductal Papilloma[J]. Journal of Modern Oncology, 2012, 20(6): 1173-1174
Authors:WU Tao    LI Yi    HE Xianli    QIAO Qing    LI Jinmao    ZHAO Huadong
Affiliation:1Department of General Surgery;2Department of Gynecology,Tangdu Hospital,the Fourth Military Medical University,Shaanxi Xi’an 710038,China
Abstract:Objective:To evaluate the application of duct endoscopy for diagnosis and therapy of intraductal papilloma.Methods: To Retrospectively analyze the data of 144 consecutive cases who had duct endoscopy for nipple discharge.Of 144 cases,the discharge was 78 bloodstained in 78,51 brown and 15 yellow in colour.Results: Intraductal goiter were detected by ductoscopy in all patients.Lesions were positioned by ductoscopy and excised with the Lobus glandularis.132 cases were diagnosed as intraductal papilloma by pothology after operation,7 intraductal carcinoma in situ and 3 breast cancer.Conclusion: Duct endoscopy is an only technique to diagnose intraductal papilloma accurately,and also to position and excise the lesions.
Keywords:duct endoscopy  nipple discharge  diagnosis
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