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乳管内乳头状瘤病的临床诊断经验

Clinical experience in diagnosis and treatment of intraductal papillomatosis of the breast

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【作者】 杨筱嵬刘谨文沈文状罗秀枝易继林

【Author】 YANG Xiao-wei;LIU Jin-wen;SHEN Wen-zhuang;Department of Thyroid and Breast Surgery,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology;

【机构】 华中科技大学同济医学院附属同济医院甲乳外科

【摘要】 目的 总结乳管内乳头状瘤病的诊断经验。方法 对713例乳头溢液患者的乳管镜检查结果中检出乳管内乳头状瘤病的病例进行分析及分型。结果 乳管内乳头状瘤病共计42例(占总检出病例的16.34%)。其中包括单侧乳房单套乳管内多发肿瘤24例(占57.14%),单侧乳房多套乳管内多发肿瘤13例(占30.95%),双侧乳房多发肿瘤病例5例(占11.91%)。结论利用乳管镜对不同类型的乳管内乳头状瘤病进行准确分型,可以为临床上对此类疾病的诊疗提供合理的治疗策略和支持依据。

【Abstract】 Objective To investigate the diagnosis and treatment of intraductal papillomatosis of the breast.Methods Analyses and classifies the cases in which intraductal papillomatosis were detected from 713 cases of nipple discharge by fiberoptic ductoscopy.Results Intraductal papillomatosis were found in 42 cases in total,including 24 cases(57.14%) with papillomas found in single duct,13 cases(30.95%) with papillomas found in multi-ducts in single side of breast,and 5 cases(11.91%)with papillomas found in both sides of breast.Conclusion Classifying different kinds of intraductal papillomatosis accurately by the examination of fiberoptic ductoscopy can provide rational evidence and strategy on the diagnosis and treatment for intraductal papillomatosis.

【关键词】 乳腺乳头状瘤病乳管镜分型
【Key words】 papillomatosisductoscopyclassification
  • 【文献出处】 临床外科杂志 ,Journal of Clinical Surgery , 编辑部邮箱 ,2014年08期
  • 【分类号】R737.9
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