【摘要】 目的评价乳管镜对未扪及肿块的导管内占位性病变的诊断价值。方法对139例未扪及肿块的乳头溢液患者行乳管镜检查,将溢液性质、检查结果、病理结果进行总结分析。结果乳管镜检查发现乳管扩张和乳管炎88例,导管内乳头状瘤46例,乳头状瘤病2例,导管癌3例。51例占位性病变患者46例行手术治疗,与病理诊断符合率分别为87.8%(36/41),100%(2/2),66.7%(2/3)。结论乳管镜能早期发现导管内占位性病变,明确病变部位,有利于早期准确手术,并提高早期乳腺癌的检出率。更多还原

【Abstract】 [Objective] To evaluate the value of fiberoptic ductoscopy (FDS) for diagnosing intraductal space occupying lesions without palpable mass. [Methods] 139 patients with nipple discharge with unpalpable mass were submitted to fiberoptic ductoscopy examination. Discharge property, FDS diagnosis, and pathologic diagnosis were analyzed retrospectively. [Results] Mammary duct ectasia and galactophoritis were found in 88 cases, papilloma and papillomatosis were found in 46 cases and 2 cases; duct cancer was found in 3 cases, 46 of 51 cases with intraductal space occupying lessions underwent operation. The accordance rate with pathologic diagnosis was 87.8%, 100% and 66.7%, respectively. [Conclusion] FDS can detect intraductal space occupying lesions early and locate accurate site, trying to operate early and accurately, and improve the diagnosis of early breast cancer.更多还原