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乳腺良性疾病(病变)的诊断和鉴别诊断要点

Main Points of diagnsis and differentiate diagnosis in benign diseases or lesions of the breast

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【作者】 张娜张斌

【Author】 ZHANG Na,ZHANG Bin.Liaoning Province Tumor Hospital,Shenyang 110043,China

【机构】 辽宁省肿瘤医院放疗科辽宁省肿瘤医院乳腺科

【摘要】 临床常见的乳腺非肿瘤病变有乳腺囊性增生病、导管扩张症(或浆细胞性乳腺炎)、积乳囊肿、脂肪坏死等。良性肿瘤中,以纤维腺瘤和导管内乳头状瘤多见。需与乳腺恶性肿瘤鉴别的常见病有:乳腺导管扩张症,脂肪坏死,硬化性腺病及巨纤维腺瘤。乳头状瘤病与乳头状瘤是两类性质截然不同的病变。病理组织学诊断为乳头状瘤病及非典型增生(主指Ⅱ~Ⅲ级)的属癌前病变。目前尚无证据说明囊性增生病与乳腺癌的发生有关。

【Abstract】 Cystic hyperplasia,mammary duct ectasia(plasma cell mastitis),milk cyst and fat necrosis werec ommon benign non-neoplasm lesions of the breast.Amongt he benign neoplasms,adenofibroma(fibroadenoma)andi ntraductal papilloma were much more frequency.There ares everal benign breast diseases such as mammary duct ectasia,f at necrosis,sclerous adenosis and massive adenofibroma needd ifferentiate from malignant lesions of the breast.P apillomatosis and atypical hyperplasia(grade 2 and 3)b elong to premalignant lesions of the breast.Up to now,therea re no evidence of the relationship between cystic hyperplasiao f the breast and developing breast cancer.

【关键词】 乳腺良性疾病乳腺癌
【Key words】 benign breast diseasesbreast cancer
  • 【文献出处】 中国实用外科杂志 ,Chinese Journal of Practical Surgery , 编辑部邮箱 ,2009年03期
  • 【分类号】R655.8
  • 【被引频次】15
  • 【下载频次】462
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