【摘要】 目的 探討選擇性乳腺導管造影對溢液性乳腺腫瘤的鑒別診斷價值。 方法 回顧性分析2005年1月-2009年7月50例溢液性乳腺腫瘤資料，所有患者均行鉬靶X線平片攝影、選擇性乳腺導管造影檢查及手術病理確診。 結果 17例乳腺癌主要表現為分支導管內不規則的充盈缺損伴導管壁破壞，導管阻塞中斷、斷續征、潭湖狀充盈等征象；33例乳腺導管內乳頭狀瘤主要表現為大導管內光整的充盈缺損，導管壁多無破壞，并伴有導管擴張以及扭曲。 結論 選擇性乳腺導管造影對溢液性乳腺腫瘤診斷和鑒別診斷具有重要價值。
【Abstract】 Objective To evaluate the value of selective mammary ductography in the diagnosis of breast tumours with nipple discharge. Methods The clinical data of 50 patients with breast tumours with nipple discharge diagnosed in our department form January 2005 to July 2009 were analyzed retrospectively. All patients were proved by molybdenum target mammography, selective mammary ductography and pathology. Results Seventeen patients with breast cancer’s galactographic features were mostly irregular intraductal defect with ductal wall breakage and ductal obstruction in the peripheral ducts; 33 patients with intraductal papilloma’s galactographic features were smooth intraductal filling defect with ductal wall integrity and ductal dilatation and torsion in the main ducts. Conclusions Selective mammary ductography is useful in diagnosis and differentiation of the breast tumours with nipple discharge.
引用本文： 江同祥,謝明均,陳竹碧. 溢液性乳腺腫瘤的選擇性乳腺導管造影表現及鑒別診斷價值. 華西醫學, 2010, 25(8): 1502-1504. doi: 復制