论文部分内容阅读
目的 :探讨乳管内视镜对导管内乳头状瘤和导管内癌的诊断价值和处理的指导意义。方法 :对1998年 11月～ 2 0 0 0年 8月 6 8例乳管内隆起性病变中乳头状瘤及导管内癌的乳管内视镜下特征及处理进行分析和总结。结果 :6 8例乳管内隆起性病变中诊断导管内乳头状瘤 6 1例 ,术后证实乳头状瘤 55例 ,准确性为 90 .2 % ;诊断导管内癌 7例 ,术后均被证实 ,准确性为 10 0 %。乳管内视镜下导管内乳头状瘤及导管内癌各有其形态特征。全部患者经乳管内视镜定位后进行了手术。结论 :乳管内视镜对导管内乳头状瘤和导管内癌的诊断准确性高 ,其病变定位功能可指导手术范围。
Objective: To investigate the value of ductal endoscopy in the diagnosis and treatment of intraductal papilloma and intraductal carcinoma. Methods: The characteristics and management of papilloma and intraductal carcinoma in 68 cases of intraductal bursal disease from November 1998 to August 2006 were analyzed and summarized. Results: Sixty-six cases of intraductal papilloma were diagnosed in 64 cases of intraductal bursal disease. Fifty-five cases of papilloma were confirmed after operation, with an accuracy of 90.2%. Seven cases of intraductal carcinoma were diagnosed after operation , The accuracy is 10%. Ductal intraductal papilloma and intraductal carcinoma have their morphological characteristics. All patients underwent endoscopic positioning after operation. Conclusion: The accuracy of diagnosis of intraductal papilloma and intraductal carcinoma is high in the diagnosis of ductal endoscopy. The localization of the disease can guide the surgical range.