乳管镜在乳腺导管内肿瘤诊断及治疗中的应用

摘要

目的：评价乳管镜在乳腺导管内肿瘤临床诊治中的作用及应用价值。方法：我科2013年1月－2014年6月经门诊乳管镜诊治乳头溢液患者共1709人次，其中诊断为乳腺导管内肿瘤患者123例，在我科行手术治疗患者105人，回顾性分析其术前诊断、术后病检及治疗过程。结果：123例患者在乳管镜下见乳腺导管内肿瘤样病变，105人行病变导管及所属腺叶部分切除术，术后病检85例确诊为乳腺导管内乳头状瘤，5例确诊为乳腺导管内原位癌，3例确诊为乳腺浸润性导管癌，12例确诊为乳腺囊肿等其他良性病变。结论：乳管镜可早期发现乳腺导管内肿瘤，是诊治及手术定位的重要辅助手段。%Objective:To evaluate the application of fiberoptic ductoscopy(FDS)in diagnosis and therapy of intra-ductal papilloma of the breast.Methods:To retrospectively analyze the data of 1 709 cases of nipple discharge diag-nosed and treated by FDS,123 were intraductal papilloma verified by FDS,105 had surgical therapy.Results:Intra-ductal lesions were verified by FDS in 123 cases,105 of them excised the diseased duct and lobus glandularis,85 ca-ses were diagnosed as intraductal papilloma by pothology after operation,5 ductal carcinoma in situ(DCIS),3 breast infitrative ductal carcinoma,12 galactoma and other were benign lesions.Conclusion:FDS is valuable and important in early diagnosis and location of intraductal papilloma.