| Breast pain, breast mass and nipple discharge is the three majorclinical manifestations of breast diseases, is the main reason forpatients visiting ,aslo.A substantial part of onset cases was concealed,and conventional drugs has little effect . And, it's often be ignored byinvestigations or B-ultrasound examination..This is intraductal nonoccupinglesions.Intraductal non-occuping lesions, is a disease caused by the inflammatoryresponse of breast duct wall a n d(or)the change of lumenpressure .Including simple mammary ductal ectasia, galactost asia,obstructive galactophoritis and duct ectasia.Mammary ductoscopy( MD) is the important means of inspectionand treatment of the breast ductal system diseases. Taking intoaccount the relationship with breast cancer , MD study is more onnipple discharge of intraductal lesions, and less on intraductal nonoccupinglesions. But intraductal non-occuping lesions has high ahigh research value account for a larger proportion of visitingpatients and better result of interventional therapy.We select breast pain, breast mass and nipple discharge patients 16,480 cases, divided into different groups of normal mammary duct(80 cases),simple mammary ductal ectasia(2,818 cases), galactostasia(4,933 cases), obstructive galactophoritis (3,677 cases) and ductectasia group (4,972 cases) based on the performance under MD.Inorder to investigate the diagnosis and treatment methods ofintraductal non-occuping lesions ,combined MD examination withfollow-up status. The results showed that all cases are porous andmultilevel disease, 885 cases located in the main duct , accountingfor 5.40 percent, 7,653 cases located in the branch duct, accountingfor 46.66 percent, 1,393 cases of peripheral duct, or 8.49 percent, theentire duct of 6,469 cases, accounting for 39.45 percent. Simplemammary ductal ectasia group and galactost asia group are mainlylocated in the entire duct; at the sametimes obstructivegalactophoritis group and duct ectasia group are mainly located in thebranch duct. Cases of breast mass accounted for 32.73 percent, breastpain cases accounted for 41.71 percent, and nipple discharge casesaccounted for 22.04 percent, 3.52 percent for the other. Accordancewith nipple discharge characters ,15.72 percent is serous discharge ;15.55 percent is bloody and serous-bloody discharge, 50.70 percent is milk samples discharge; 15.88 percent is water discharge; 1.38percent is pus discharge; 0.77 percent is mucus-like discharge. Mostgroups mainly has milk-like discharge except simple mammaryductal ectasia group which mainly has water-like discharge .Occlusion of obstructive galactophoritis group and duct ectasia groupstatistics, mainly floc 3,271 cases ,accounting for 37.82 percent,mainly fiber-based bridging 2,672 cases, accounting for 30.89percent, mainly lipid 2,201 cases, accounting for 2,545 percent, andother accounting for 5.84 percent. Reviewing breast cancer reexaminationcases, simple mammary ductal ectasia cases accountedfor 10.77 percent, galactost asia accounted cases for 40 percent ,obstructive galactophoritis cases accounted for 21.54 percent, ductectasia cases accounted for 27.69 percent.In the study, the total effective rate is 92.88 percent ,the total curerate is 59.91 percent. And galactost asia group's efficiency rate is96.15 percent, the cure rate is 72.93 percent, obstructive galactogroup'sefficiency rate is 90.58 percent, the cure rate is 53.95 percent,and duct ectasia group's efficiency rate is 91.73 percent, the cure rateis 53.09% . Accordingly we have reached the following conclusions: 1. MDis visual and accurate used in the diagnosis of intraductal lesions, isspecific for intraductal non-occuping lesions diagnosis. 2. The interventionaltherapy by MD is direct and effective, not only narrowedthe indications of breast surgery, also expanded the examination ofMD, so that the MD -examination by means of increased support forthe integrated diagnosis and treatment measures. 3. Obvious changemay appear after the treatment , so MD can be used to determineefficacy.
|
PDF Full Text Request