Clinical diagnosis and treatment of nipple discharge analysis of 79 cases.docVIP

 PAGE \* MERGEFORMAT 10 Clinical diagnosis and treatment of nipple discharge analysis of 79 cases [Keywords:] Nipple discharge; mammary duct ectasia; intraductal papilloma Breast nipple discharge is the most common symptoms of disease, and one of the important performance, the occurrence rate of 3% to 8% [1], non-lactating women, second only to the common symptoms of breast tumors can be divided into a living rational and pathological. now in our hospital from January 2002 to December 2008 admitted 79 patients with nipple discharge diagnosis reported below. 1 Subjects and methods 1.1 disease cases 79 patients in this group are non-lactating female, unmarried, 3 cases have been married 76 cases of infertility, age 19 to 82 years, median age 44.8 years, of which 21 cases from 31 to 40 years old, 41 to 50 years old, 36 cases 72.15% of total cases. course of 15 days to 10 years, average 11.3 months, of which lt;1 January cases, 1 to 12 months in 61 patients, 1 to 5 years in 16 cases, more than 5 years in 1 case. The group of 47 patients with bloody discharge, non-bloody nipple discharge in 32 cases (7 cases of white discharge, colorless serous discharge in 13 cases, 10 cases of yellow serous discharge, purulent discharge in 1 case, 1 case of oil-like discharge .) breasts discharge in 2 cases, a single milk discharge 77 patients, of which the number of points by galactorrhea, 76 cases of discharge hole, two holes and the porous discharge in 3 patients. All patients in the combined mass in 31 cases, there is nipple retraction 32 cases (40.5%), lobulated papillary in 13 cases (16.5%), local skin changes in 11 cases (13.9%), accompanied by pain in 27 cases (34.2%). 1.2 Diagnosis and Treatment All patients were based on history, physical examination combined with breast infrared scanning, mammography, nipple discharge smear cytology, B-, duct imaging and needle aspiration cytology to make the initial diagnosis by patients outside the hospital .5 duc