State D
Department of Surgery, Harbor-UCLA Medical Center, Torrance 90509.
Postgrad Med. 1991 Feb 15;89(3):65-6, 68. doi: 10.1080/00325481.1991.11700842.
Nipple discharge is one of the most common breast complaints in women. Galactorrhea (milky discharge) may occur during pregnancy or breast-feeding or as a result of drug therapy, hypothyroidism, or hyperthyroidism. Nonbloody discharge is most common and is usually benign. Bloody discharge should be considered a sign of cancer until proved otherwise. Persistent galactorrhea and nonbloody discharge can be treated by transecting the mammary ducts. Simple mastectomy may be appropriate in patients with persistent bloody discharge who have a strong family history of breast cancer.
乳头溢液是女性最常见的乳腺问题之一。溢乳(乳汁样溢液)可能发生在妊娠或哺乳期,也可能是药物治疗、甲状腺功能减退或甲状腺功能亢进的结果。非血性溢液最为常见,通常为良性。在排除其他原因之前,血性溢液应被视为癌症的迹象。持续性溢乳和非血性溢液可通过切断乳腺导管进行治疗。对于有乳腺癌家族史且持续性血性溢液的患者,单纯乳房切除术可能是合适的。