Hou M F, Huang C J, Huang Y S, Huang T J, Chan H M, Wang J Y, Liu G C, Wu D K
Department of Surgery and Radiology, Kaohsiung Medical College, Taiwan.
Clin Imaging. 1998 Mar-Apr;22(2):89-94. doi: 10.1016/s0899-7071(97)00094-6.
Galactography is useful in the evaluation of spontaneous discharge from the nipple of a nonlactating breast. Without galactography, surgeons have relied on either masectomy or excision of the major duct system responsible for the discharge. From January 1989 to May 1996, 106 galactograms were performed with monofilament polypropylene suture guiding for duct cannulation in 105 cases. The discharge duct was identified by pre-operative galactography, followed by a selective excision of ductal-lobular unit. In all tissue specimens, the cause of the pathologic secretion was found histologically; most often, it was intraductal papilloma (42.6%). In 35.6% of the specimens, findings with a prospective significance (papillomatosis, hyperplasia, carcinoma) were discovered and further operative treatment was initiated. The color of the discharge allowed no prediction of the histological findings. The accuracy of galactography was 88.4%, 84.6%, and 77.4% in papilloma, cancer, and other benign lesions, respectively. It is better than physical examination and other tests. Galactography represents a useful test in the diagnostic workup of secretory breasts.
乳腺导管造影术对于评估非哺乳期乳头的自发性溢液很有用。在没有乳腺导管造影术的情况下，外科医生要么依靠乳房切除术，要么切除导致溢液的主要导管系统。从1989年1月至1996年5月，对105例患者进行了106次乳腺导管造影术，采用单丝聚丙烯缝线引导进行导管插管。术前通过乳腺导管造影术确定溢液导管，随后选择性切除导管小叶单位。在所有组织标本中，通过组织学检查发现了病理性分泌物的原因；最常见的是导管内乳头状瘤（42.6%）。在35.6%的标本中，发现了具有前瞻性意义的结果（乳头状瘤病、增生、癌），并开始了进一步的手术治疗。溢液的颜色无法预测组织学结果。乳腺导管造影术在乳头状瘤、癌症和其他良性病变中的准确率分别为88.4%、84.6%和77.4%。它优于体格检查和其他检查。乳腺导管造影术是分泌性乳腺诊断检查中的一项有用检查。
