摘要
目的探讨乳腺疾病再次手术的原因与治疗方法。方法对因乳腺良性疾病进行第2次手术的32例患者原因、病理结果和治疗方法进行分析。结果32例中,临床以疼痛、局部肿块为主诉者24例(75.0%);乳头溢液7例(21.9%);肿块合并乳头溢液1例(3.1%)。病理诊断:乳腺增生或囊性增生17例(53.1%);纤维腺瘤、导管内乳头状瘤各5例;炎症、乳腺癌各2例;结核1例。结果32例全部手术成功。根据病理结果对良性复发病例行病变局部切除或行单纯乳房切除;确诊为恶性者行乳腺癌根治术。结论乳腺增生或囊性增生、纤维腺瘤是造成乳腺良性疾病再次手术的主要原因;由于乳腺增生可以癌变,故局部切除加长期随访对乳腺良性疾病的治疗和乳腺癌早期切除很有必要。
Objective To discuss the causes and approaches of reoperation of mammary gland disorders. Methods The causes, pathological findings, and therapeutic regimens of 32 cases of benign mastoses undergoing the second surgical intervention were analysed. Results Among the 32 cases, 24 complained of pain and local lump, which accounted for 75%, 7 suffered from nipple discharge （21.9%）, and 1 lump concomitant with nipple discharge. The operations were uneventful in all cases. Local excision or simple mastectomy was performed on benign recurrent cases, whereas radical mastectomy was conducted for breast cancer patients. Conclusion Mammary gland or cystic hyperplasia, fibroadenoma are mainly reasons responsible for reoperation. Since mammary gland hyperplasia can develop canceration, local excision and long term follow-up are necessary for benign breast lumps.
出处
《西部医学》
2007年第2期197-198,共2页
Medical Journal of West China
关键词
乳腺肿瘤
纤维囊性病
再次手术
Breast tumours
Fibrocystic diseases
Reoperation
