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:目的 深讨不伴肿物乳头溢液对检出早期乳腺癌及癌前病变的临床价值。方法 对12 4例不伴肿物乳头溢液患者 (其中浆液性溢液 47例 ,血性溢液 74例 ,脓性 3例 ) ,行手术治疗 ,先行病变导管切除 ,如为恶性 ,则行乳腺癌改良根治术。结果 本组病例良性者 115例 ,占 92 7% ,其中乳腺导管内乳头状瘤和乳腺囊性增生病占 79% ;乳头状瘤 (病 )伴瘤细胞或导管上皮增生活跃(癌前病变 ) 14例 ,占 11 3% ;乳腺癌 9例 ,占 7 3% ,9例患者均为血性乳头溢液 ,占血性溢液之12 2 % ,均为临床早期癌 (T0 期乳腺癌 )。结论 不伴肿物乳头溢液对检出早期乳腺癌及癌前病变有重要的临床价值
Objective To investigate the clinical value of non-palpable papillary discharge on the detection of early stage breast cancer and precancerous lesions. Methods One hundred and twenty-four patients with nipple discharge without tumor (including 47 cases of serous discharge, 74 cases of bloody discharge and 3 cases of purulent) underwent surgical treatment. The first lesion was removed by ductal resection. If malignant, Modified radical mastectomy. Results The group of benign cases in 115 cases, accounting for 92.7%, of which intraductal papilloma and cystic hyperplasia of breast disease accounted for 79%; papilloma (disease) with tumor cells or ductal epithelial hyperplasia (precancerous lesions) 14 cases, accounting for 11 3%; 9 cases of breast cancer, accounting for 73%, 9 patients were bloody nipple discharge, accounting for 12 2% of bloody discharge, are early clinical cancer (T0 breast cancer). Conclusions Non-tumor nipple discharge has important clinical value in detecting early stage breast cancer and precancerous lesions