Pignatelli V, Savino A, Orsitto E, Ruiu U, Kiferle M
II Servizio di Radiodiagnostica, USL Area Pisana.
Radiol Med. 1989 Jun;77(6):643-9.
The authors report their experience in the galactographic study of 95 women with nipple discharge; 65 of them previously underwent both surgical and histological control. The galactographic features are classified according to predominant alterations: ductal ectasia, ductal stenosis, ductal amputation, solitary/multiple filling defects, ductal dystrophy, and irregular distribution of ductal branches. Histopathological findings (65 patients) appear to be related to nipple discharge types: thus, hematic secretion results pathognomonic for intracanalicular neoplasm (24/25), while serous and serous-hematic discharge (32/65) may be caused by any mammary pathologies. Galactography is therefore recommended, being sometimes the only reliable diagnostic method and allowing both topography and extension of the lesion to be demonstrated, which are necessary elements for planning adequate surgical treatment.
作者报告了他们对95例乳头溢液女性进行乳腺导管造影研究的经验；其中65例此前接受了手术及组织学检查。乳腺导管造影特征根据主要改变进行分类：导管扩张、导管狭窄、导管截断、单发/多发充盈缺损、导管营养不良以及导管分支分布不规则。组织病理学检查结果（65例患者）似乎与乳头溢液类型有关：因此，血性溢液是管内肿瘤的特征性表现（24/25），而浆液性及浆液血性溢液（32/65）可能由任何乳腺病变引起。因此推荐进行乳腺导管造影，它有时是唯一可靠的诊断方法，能够显示病变的部位及范围，而这些是规划适当手术治疗所必需的要素。
