摘要
乳腺导管扩张症是一种较少见的无菌性炎症样特殊类型的乳腺病变。临床上主要表现为乳房肿块或／和乳头溢液，极易误诊误治。作者报告了１９７１～１９９４年２３年间收治的经手术病理证实的乳腺导管扩张症２７３例。术前临床误诊率高达６７．４％，因误诊为乳腺癌而行乳腺癌根治术６例，改良根治术９例，１５例由于误诊误治而造成经久难愈的乳腺瘘。作者对该病的病因、临床表现、分型、组织学改变、诊断与鉴别诊断及治疗进行了探讨。提倡术中快速冰冻组织学检查作为确切诊断及术式选择的可靠依据。
Abstract Mammary ductal ectasia is an uncommon breast disease characteristic of aseptic inflammation. All the 273 cases of mammary ductal ectasia underwent surgical operation and diagnosis was confirmed histopathologically in our hospital during 1971 to 1994. The clinical misdiagnostic rate was 67.4 %. Radical or modified radical mastectomy was performed on 15 cases under misdiagnosis of breast cancer. Lasting breast fistulae occured in 15 cases because of misdiagnosis and maltreatment. Intraoperative biopsy for fast histopathology is necessary to establish diagnosis.
出处
《普外临床》
CSCD
1996年第6期363-365,共3页
