乳腺导管扩张症术前误诊原因分析（Misdiagnosis of mammary duct ectasia before operation）.docVIP

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乳腺导管扩张症术前误诊原因分析（Misdiagnosis of mammary duct ectasia before operation）.doc

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乳腺导管扩张症术前误诊原因分析（Misdiagnosis of mammary duct ectasia before operation）

乳腺导管扩张症术前误诊原因分析（Misdiagnosis of mammary duct ectasia before operation） Misdiagnosis of mammary duct ectasia before operation Update Date: 09-13 Zhang Jingxue Keywords breast disease / diagnosis; mammary duct ectasia / diagnosis; Misdiagnosis; breast neoplasms / diagnosis; Key, words, Breast, diseases/diagnosis, Breast, duct, ectacsis/diagnosis, Diagnostic,, errors, Breast, neoplasms/diagnosis Mammary duct ectasia has a wide variety of diseases. In 1963, the name was identified by Haargensen for the first time. The incidence rate is about 4.5% [1] of benign breast diseases. Because the etiology of this disease is uncertain and the signs are various, it should be carefully identified in breast diseases such as breast cancer, intraductal papilloma and so on in order to reduce the incidence of misdiagnosis and missed diagnosis. Our hospital from October 1986 to October 1996, preoperative misdiagnosis and missed diagnosis of mammary duct ectasia in 19 cases, is the cause of misdiagnosis of a preliminary analysis. 1 clinical information 1.1 general data 19 cases were female, the average age was 42.3 years old, including 33~40 years old 12 cases (63.2%), the course of disease is 14 days to 7 years, average 10 months. 19 cases were not lactating women after the birth, 6 cases had acute mastitis (31.5%), 9 cases (47.1%) were not breast-feeding and breast-feeding for six months. 15 cases of 1.2 signs of breast lumps treatment, 8 cases of tumors located in the deep areola, distributed in 7 cases of breast lumps in each quadrant; the minimum volume of 1 cm * 1 cm * 0.8 cm, a maximum of 5 cm * 5cm * 6 cm; mass tenderness in 9 cases (60%). There were 4 cases with milk overflow, including 2 cases of bloody discharge, 1 cases of yellow overflow and purulent discharge. Nipple in 4 cases, the skin is orange dermoid changes in 2 cases, areola place in eczemamodel change in 1 cases. There were 4 cases with axillary lymph node enlargement and tenderness in the affected side. 6 cases had