论文部分内容阅读
目的:理证实的导管内乳头状瘤54例,对照溢液细胞学涂片与组织病理进行回顾性分析,以提高诊断水平。材料与方法:临床表现有乳头溢液并经手术、病理证实的导管内乳头状瘤54例,术前进行细胞涂片,然后进行乳腺导管造影检查,回顾性分析其细胞学涂片及导管造影与手术病理结果进行对比分析。结果:54例经手术切除组织病理学诊断为导管内乳头状瘤中,术前细胞学检查诊断正确者39例,误诊15例,其中8例误诊为导管上皮乳头状增生,2例误诊为乳腺癌,5例误诊为导管炎症,诊断符合率为72.2%;导管造影术前正确诊断50例,3例诊断为导管炎症并增生,1例技术原因漏诊,诊断符合率为92.6%。结论:对于无明显肿块的乳头溢液患者,乳头溢液的细胞学检查及导管造影对诊断导管内病变是可信赖的方法。两种检查方法相结合,有助于本病的正确诊断。
Objective: To confirm the diagnosis of intraductal papilloma in 54 cases, control discharge cytology smears and histopathological retrospective analysis to improve the diagnostic level. Materials and Methods: Clinical manifestations of nipple discharge and surgery, pathologically confirmed intraductal papilloma in 54 cases, preoperative cell smear, and then ductal angiography, retrospective analysis of cytology smears and catheterization And surgical pathology results were analyzed. Results: Totally 54 cases were diagnosed as intraductal papilloma by histopathology. 39 cases were correctly diagnosed by cytology before operation, 15 cases were misdiagnosed, 8 cases were misdiagnosed as ductal papillary hyperplasia and 2 cases were misdiagnosed as breast 5 cases were misdiagnosed as ductal inflammation, and the diagnostic coincidence rate was 72.2%; 50 cases were correctly diagnosed before catheterization, 3 cases were diagnosed as ductal inflammation and hyperplasia, 1 case was missed due to technical reasons, and the diagnostic coincidence rate was 92.6%. Conclusion: Cytological examination and catheterization of nipple discharge are reliable methods for the diagnosis of intraductal lesions in patients with nipple discharge without significant mass. The combination of the two tests helps to correctly diagnose the disease.