乳腺导管造影对乳管内乳头状瘤诊断价值.docVIP

乳腺导管造影对乳管内乳头状瘤诊断价值【摘要】目的：探讨乳头状瘤钼靶X线片、导管造影的X线表现及其与临床病理关系。方法：回顾性分析80例乳管内乳头状瘤的临床特点，乳房钼靶X线片，导管造影表现及病理改变；并根据病变大小、形态，病变处导管形态及二者的关系，在导管造影片上进行X线分型且与病理改变进行对比。结果：80例均有单个乳孔溢液，血性分泌物52例，乳晕区触及肿块12例。乳房钼靶X线片示乳晕下区肿块10例。导管造影：80例均示导管内充盈缺损，其中18例并导管扩张。管内型56例，囊内型18例，实体型6例。钼靶X线表现与病理改变一致。结论：乳管内乳头状瘤最常见的临床表现是单个乳孔溢液，乳腺钼靶X线平片征象少；导管造影特点是管内充盈缺损，对乳头状瘤具有病变部位确断价值。 【关键词】乳头状瘤；导管造影；充盈缺损 文章编号：1009-5519（2007）16-2394-02 中图分类号：R81 文献标识码：A Intradutal papilloma of the breast：Comparison of clinical mammographic and pathologic findings LIU Zheng-min，CHEN Liu-bin，GONG Shui-gen，et al. (Department of Radiology， Daping Hospital Research Institute of Surgery，Third Miliary Medical University，Chongqing 400042，China) 【Abstract】Objective: To determine the mammographic findings of the intraduct papilloma of the breast，and to correlate these findings with the clinical and pathological feaeures. Methods: We had retrospectively analysed manifestations of mammograms， galactograms and pathological findings in 80 cases， According to the size and shape of the lesion and the relationship between duct and lesion，the papilloma was typed on the galactograms，Mammographie manifestations were compared with pathologic findings. Results:All of the patients had nipple discharge， 52cases were bloodstained and six patients had palpable masses in subareola.The masses were found in 10 cases and one dilated duct in subareolar region on mammograms，Galactograms showed introluminal filling defect in all patients；ductal dilation in 18 cases，There was intraduct type in 56 cases， intracyst type in 18 cases and solid type in 6 cases.The mammographic findings were in conformity with their pathology.Conclusion:Most patients with intraductal papilloma of the breast have nipple discharge and galactographic filling defect， Galactograhy is usefal for diagnosing papilloma， while few could be found in mammogram imaging. 【Key words】Papilloma；Galactography；Filling defect 乳管内乳头状瘤是常见的女性乳腺溢液性良性肿瘤-乳腺上皮源性肿瘤之一[1]，发生于乳腺大、中、小导管的上皮细胞，导管内膜增生突入