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目的:探究乳腺paget病的临床特点及其诊治方法。方法:从2012年9月至2016年1月间本院收治入院的paget病患者17例进行观察分析,回顾性分析本组患者的临床病例资料,总结paget病患者的临床特点及其诊断和治疗方法。结果:17例患者中手术前有14例患者进行细胞学检查,其中有5例患者呈阳性结果,细胞学诊断阳性率为35.71%,所有患者行乳腺病理组织活检,均诊断为乳腺paget病,其中有3例患者为单纯乳腺paget病,12例患者合并浸润性导管癌,2例患者为浸润性小叶癌。经过手术治疗后,仅有1例患者出现远处转移。结论:早期诊断是提高乳腺paget病患者临床治愈的关键,在诊断中需要特别注意是否合并乳腺肿块,并排除其他乳腺疾病,早期手术治疗。
Objective: To explore the clinical features of breast paget disease and diagnosis and treatment methods. Methods: From September 2012 to January 2016, 17 cases of paget patients hospitalized in our hospital were observed and analyzed. The clinical data of patients in this group were retrospectively analyzed. The clinical features of patients with paget disease and their diagnosis and treatment were summarized method. Results: Of the 17 patients, 14 patients had cytological examination before operation, of which 5 patients had positive results. The positive rate of cytological diagnosis was 35.71%. All patients underwent biopsy of breast pathology, all diagnosed as breast disease, Three of the patients had simple paget disease of the breast, 12 had invasive ductal carcinoma, and two had invasive lobular carcinoma. After surgery, only 1 patient had distant metastases. Conclusion: Early diagnosis is the key to improve the clinical cure of patients with paget disease in breast cancer. Special attention should be paid to the diagnosis of breast lesions in patients with breast cancer. Other breast diseases should be excluded and early surgery should be excluded.