目的 探討乳腺導管擴張癥的臨床特點、診斷、鑒別診斷及治療。方法 對我院1990年至1999年收治的30例乳腺導管擴張癥患者，進行一般情況、治療及預后的回顧性分析和總結。結果 本組病例平均發病年齡42歲，首發癥狀以乳腺腫塊和乳頭溢液多見，病變多位于乳暈周圍，所有患者均行手術治療。結論 乳腺導管擴張癥為非感染性炎癥，病史長、易反復，鑒別診斷有一定困難，均需外科治療。
【摘要】 目的 探討乳腺惡性淋巴瘤的臨床病理特征、治療方式及其與預后關系。 方法 1980年1月-2007年12月對收治的21例乳腺惡性淋巴瘤患者的臨床病理特點、診斷和治療方法進行回顧性分析。 結果 21例乳腺惡性淋巴瘤患者均為女性，中位年齡47歲；其中原發性乳腺惡性淋巴瘤18例，繼發性惡性淋巴瘤3例。原發性乳腺惡性淋巴瘤均為非霍奇金淋巴瘤，B細胞來源為主，大多為術后診斷，治療均采用手術+化學療法。 結論 乳腺惡性淋巴瘤治療應強調手術，化學療法和放射治療的綜合治療。【Abstract】 Objective To study the clinico-pathological features and treatment modality of malignant breast lymphoma, and their relationships with the prognosis of the disease. Methods The clinico-pathological features, diagnosis and treatment methods of 21 cases of malignant breast lymphoma diagnosed between January 1980 and December 2007 were analyzed retrospectively and related domestic and overseas literature was reviewed. Results Among the 21 female patients, 18 had primary breast lymphoma (PBL), 3 had secondary breast lymphoma. All cases of PBL were non-Hodgkin’s lymphoma with mainly B cells as the origin. The median age of the patients was 46.5 years old. Most of the cases were diagnosed postoperatively and all patients were treated by operation combined with chemotherapy. Related literature reviewing showed that clinical staging and treatment modality were important factors of prognosis. Conclusion In treating malignant breast lymphoma, operation and chemoradiotherapy should be combined together to get a better result.
From Jan. 1, 1990 to Dec. 30, 1994, 38 patients with mammary duct ectasia admited to our hospital, for whom the diagnoses were confirmed by pathological examination of surgical specimens. Intensive literature review was made together with 569 cases of this group were summarized in terms of clinical features of the disease. Tumor-like mass is a most common sign (78.21%), and the other clinical features are: nipple discharge (28.47%), nipple retraction (21.79%), axillary node enlargement (15.82%), skin adhesion (11.25%) and breast fistula (3.87%). Surgical excision of the mass is the unique effective treatment of chioce. 24 out of 38 cases were misdiagnosed other than mammary duct ectasia. Careful clinical observation and examination may reduce the chance of misdiagnosis.
ObjectiveTo explore advantages and feasibility of a new prosthesis implantation method after breast cancer surgery by reacquaint breast anatomy. MethodsThe clinicopathologic data of patients with breast cancer were retrospectively collected. The patients underwent the breast cancer surgery and prosthesis implantation with cricoid breast ligament in the Xuzhou Cancer Hospital from January 1, 2021 to May 30, 2023. ResultsA total of 10 patients were collected, with age ranging from 31 to 59 years old. Three patients received postoperative analgesia, 2 patients occurred infection, 1 patient occurred fat liquefaction. All patients did not experience capsular contracture, flap necrosis, or removal of the prosthesis. Two patients had sentinel lymph node metastasis. All patients followed-up 3 to 24 months after surgery. The BREAST-Q questionnaire was used to assess the quality of life and satisfaction after surgery, 3 patients were very satisfied, 5 were satisfied, and 2 were basically satisfied. ConclusionFrom the results of limited cases analysis in this study, it is safe and feasible to implant the prosthesis with cricoid breast ligament in selected patients after breast cancer surgery.
【摘要】 目的 用高頻超聲對正常女性乳腺健康體檢，探討其在臨床及乳腺普查方面的應用價值。 方法 對2006年1月－2009年12月間7 532例健康女性乳腺體檢聲像圖進行分析，并對各年齡段的乳腺病變超聲結果分布情況進行統計。 結果 共檢出乳腺病變2 861例（37.98%），正常者4 671例（62.02%）。所有受檢者中，囊性病變1 904例（25.28%），實性病變944 例（12.53%），混合性病變13例（0.17%），伴有副乳者692例。囊性病變及實性病變單側多于雙側，混合性病變均為單側。常見病中，囊性病變多于實性病變，發病年齡分布在20～30歲及31～40歲年齡段。 結論 高頻超聲作為女性乳腺疾病的一種常規檢查，能對乳腺占位性疾病提供較為準確的診斷，對乳腺癌早期發現、早期診斷、早期治療提供一種科學依據。【Abstract】 Objective To explore the clinical value of high-frequency sonography for normal clinical breast examination in breast screening. Methods From January 2006 to December 2009, 7 532 healthy women underwent breast sonography. The results of sonography in the individuals with different ages were statistically analyzed. Results Breast lesions were found in 2 861 cases (37.98%) and the other 4 671 were healthy. Among all of the individuals, 1 904 cases (25.28%) had cystic lesions, 944 (12.53%) had solid lesions and 13 (0.17%) had mixed lesions. There were 692 cases of accessory mammary tissue. Unilateral cystic nodules and solid nodules were more common than bilateral ones, whereas mixed nodules were usually sunilaterally. Cystic nodules were more common than solid nodules. Most common onset of breast lesions is in the individuals with the age of 20-30 and 31-40 years. Conclusion High-frequency sonography, as an examination for normal clinical breast screening provides more accurate diagnosis and early detection of breast lesions, which can provide scientific evidence for early detection, diagnosis and treatment for breast cancer.