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目的 探讨乳腺乳管内乳头状瘤的临床病理学特征以提高其诊断和治疗水平。方法 回顾分析本院1980～1999年间收治的乳管内乳头状瘤120例。结果 120例病人中首发症状为乳头溢液者94例,占78.3％,为乳房肿块者18例,占15％;病理回报良性者占87.5％,恶变者12例,占10％;恶变倾向者3例,占2.5％,结合病史体征及各种辅助检查可提高诊断水平。结论 本病虽属良性,但有一定恶变率,对本病应做出早期正确诊断,采取合理的手术治疗。
Objective To investigate the clinicopathological features of breast intraductal papilloma to improve its diagnosis and treatment. Methods Retrospective analysis of 120 cases of intraductal papilloma treated in our hospital from 1980 to 1999. Results The first symptom in 120 patients was nipple discharge in 94 cases, accounting for 78.3%, 18 cases of breast lumps, accounting for 15%; benign pathology accounted for 87.5%, malignant cases in 12 cases, accounting for 10%; 3 cases, accounting for 2.5%, combined with medical history signs and various auxiliary examinations can improve the diagnostic level. Conclusion Although this disease is benign, but there is a certain rate of malignancy, we should make an early and correct diagnosis of the disease, and take reasonable surgical treatment.