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1、乳导管造影在乳腺癌诊断中的价值吕凤燕I白蓉2史琴英I甘肃省人民医院1,乳腺科，2,远程会诊中心甘肃兰州730000［摘要］FI的：通过对乳头溢液乳腺病患者导管造影影像学特征分析，来提高对表现为乳头溢液的早期乳腺癌的诊断水平。方法：回顾性分析经手术病理证实的23例乳头溢液的乳腺癌患者和手术病理证实的23例乳头溢液的导管内乳头状瘤临床资料和乳腺导管造影x线资料，总结早期乳导管内癌导管x线特征，分析误诊、漏诊原因。结果：23例乳导管内癌中，2例为鼠尾征；4例为截断征；4例导管呈局限性不规则，病变导管8例三级导管处造影呈“潭湖样”充盈；3例病
2、变导管跳跃式显示；1例病变导管紊乱，结构不清。而23例导管内乳头壮瘤除有1例导管呈局限性不规则，病变导管僵硬征象外，其余征象均呈阴性。结论：导管造影x线片显示鼠尾征、截断征、潭湖征、导管局限性不规则，导管僵硬和导管跳跃式改变对导管内癌的早期诊断有特征性意义，而病变导管结构紊乱、结构不清提示可疑癌，需定期随访或者联合其他检查手段明确诊断。［关键词］乳头溢液,乳腺癌，导管内乳头状瘤，导管造影ThroughcatheterradiographytofingmammaryglandcacerLvfengyan,bairong,shiqingy
3、ing,duxiaopingTenpeople^shospitalofGansu,LanzhouGansu730000,ChinaAbstract:Objective:Throughtheiconographicanalysisofthecatheterradiographyofthepatientssufferingfromthemammaryglanddiseaseofnippledischarge,thediagnosticaccuracyofearlymammaryglandcancerswithnippledischarge
4、canbeimproved.Method:TheclinicalmaterialsandtheX-raymaterialsofnippleglandcathetersof23patientsofnippledischargemammaryglandcancerand23casesofintracanalicularpapillomaofnippledischargeprovedbyoperationpathologywereanalyzedandtheX-rayfeaturesofearlynippleintracanalicular
5、papillomacancerwereconcluded・Thereasonsformisdiagnosisandmisseddiagnosiswereinvestigated.Results:Ofthe23casesofintracanalicularpapillomacancer,2showedrat-tailsigns,and4cut-offsigns.Thecathetersof4caseswereirregularandthepathologicalcathetersbecamestill・Theradiographyatt
6、hree-classofcathetersbecamefulllikealake・Thepathologicalcathetersofthreecasesweredisplayedsaltatorily.Thepathologicalcatheterofonecaseshoweddisorderandunclearstructure.However,of23casesofintracanalicularpapilloma,exceptonecaseshowedlimitedirregularitywithincathetersandt
7、hepathologicalcathetersbecamestiff,alltheothersymptomswerenegative・Conclusion:TheX-rayofbreastcatheterswhichdisplayrat-tailsigns,cut-offsigns,andtheirregularityofcatheters,thechangesleadingtothestiffeningandsalutatoryofcatheters,havepathognomonicsignificancefortheearlyd
8、iagnosisofintracanalicularcancer.Thestructuralirregularityandunclearnessintheductshavingpathologicalchangesind
