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目的:评价乳管镜在乳腺导管内肿瘤临床诊治中的作用及应用价值。方法:我科2013年1月-2014年6月经门诊乳管镜诊治乳头溢液患者共1 709人次,其中诊断为乳腺导管内肿瘤患者123例,在我科行手术治疗患者105人,回顾性分析其术前诊断、术后病检及治疗过程。结果:123例患者在乳管镜下见乳腺导管内肿瘤样病变,105人行病变导管及所属腺叶部分切除术,术后病检85例确诊为乳腺导管内乳头状瘤,5例确诊为乳腺导管内原位癌,3例确诊为乳腺浸润性导管癌,12例确诊为乳腺囊肿等其他良性病变。结论:乳管镜可早期发现乳腺导管内肿瘤,是诊治及手术定位的重要辅助手段。
Objective: To evaluate the role and clinical value of ductoscopy in the diagnosis and treatment of intraductal tumors. Methods: From January 2013 to June 2014, a total of 1 709 patients with nipple discharge diagnosed and treated by clinic were examined retrospectively, of whom 123 cases were diagnosed as intraductal tumors, and 105 were treated surgically by our department. Analysis of its preoperative diagnosis, postoperative pathology and treatment process. Results: 123 patients underwent ductal endoscopic ductal tumor-like lesions in the ducts, 105 patients underwent ductal resection and partial lobectomy, postoperative examination of 85 cases of intraductal papilloma confirmed, 5 cases diagnosed as breast Ductal carcinoma in situ, 3 cases diagnosed as breast invasive ductal carcinoma, 12 cases diagnosed as breast cysts and other benign lesions. Conclusion: Ductoscopy can detect intraductal tumors early, which is an important aid in the diagnosis and surgical location.