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目的探讨选择性乳腺导管造影对溢液性乳腺癌的诊断价值。方法回顾性分析病理确诊的39例伴溢液的乳腺癌患者的乳腺导管造影表现。结果 39例中导管内乳头状癌7例,导管内癌13例,浸润性导管癌19例。乳腺导管造影主要表现为:导管内充盈缺损24例(61.5%),导管中断15例(38.5%),僵硬或紊乱31例(79.5%),虫蚀征18例(46.2%),潭湖征4(10.3%),断续征17例(43.6%),狭窄24例(61.5%),扩张22例(56.4%)。对于39例乳腺癌,单纯乳腺钼靶平片诊断符合率为64.1%(25/39),导管造影诊断符合率为87.2%(34/39),高于前者,差异有统计学意义(P<0.05)。对于13例导管内癌,单纯乳腺钼靶平片诊断符合率为61.5%(8/13),导管造影诊断符合率为100%,高于前者,差异有统计学意义(P<0.05)。结论选择性乳腺导管造影可提高乳腺癌的检出率,对导管内癌的早期诊断更具独特诊断价值。
Objective To investigate the diagnostic value of selective breast ductography in patients with sporadic breast cancer. Methods Retrospective analysis of pathological diagnosis of 39 cases of breast cancer patients with discharge of breast ductal angiography. Results 39 cases of intraductal papillary carcinoma in 7 cases, ductal carcinoma in 13 cases, invasive ductal carcinoma in 19 cases. Mammary ductography mainly manifested in 24 cases (61.5%) of catheter filling defect, 15 cases (38.5%) of catheter interruption, 31 cases (79.5%) of stiff or disorder, 18 cases (46.2%) of worm erosion sign, 4 cases (10.3%), intermittent cases in 17 cases (43.6%), stenosis in 24 cases (61.5%) and expansion in 22 cases (56.4%). For 39 cases of breast cancer, the coincidence rate was 64.1% (25/39), and the coincidence rate of catheter angiography was 87.2% (34/39), the difference was statistically significant (P < 0.05). For 13 cases of intraductal carcinoma, the coincidence rate of simple mammoplasty diagnosis was 61.5% (8/13), and the diagnostic accuracy of catheterization was 100%, which was higher than the former (P <0.05). Conclusion Selective mammary duct angiography can improve the detection rate of breast cancer, the early diagnosis of intraductal cancer more unique diagnostic value.