Sonographic findings compared with fiberoptic ductoscopy in the patients of spontaneous nipple discharge
10.3760/cma.j.issn.1004-4477.2010.08.024
- VernacularTitle:乳头溢液性疾病的超声征象与乳管内窥镜检查结果的对比分析
- Author:
Ruijuan SU
;
Xianfu SUN
;
Jianjun YUAN
;
Wenwei WANG
;
Bing ZHAO
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
Breast diseases;
Nipple discharge;
Fiberoptic ductoscopy
- From:Chinese Journal of Ultrasonography
2010;19(8):705-707
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the ultrasound diagnostic value for nipple discharge disease by comparison with fiberoptic ductoscopy. Methods Fiberoptic ductoscopy and ultrasonic inspection were performed on fifty-seven patients with spontaneous nipple discharge,and the results were analysed. Results In all patients, 55 cases (96. 49 % ) were abnormal in high-frequency ultrasound inspection:27 mammary duct expansion(47.36%),19 occupying lesion with mammary duct expansion or cyst (33.33%),6 cystic echo ( 10. 52% ) ,3 only solid echopattern (5.26%) ,and 2 nothing found (3.51% ). In ultrasonic inspection,color and pulse Doppler signal were found in 7 cases. On the other hand, 26 galactophoritis (45.61%), 12mammary duct ectasia (21.05 %), 17 intraductal papilloma (29.82%), 2 breast carcinoma (3.50%) were diagnosed by fiberoptic ductoscopy. In all 19 cases with occupying lesion,ultrasonography's sensitivity was 52. 63% ,specificity was 89. 47%, misdiagnosis rate was 10. 50%, rate of missed diagnosis was 47.36%.Conclusions To nipple discharge disease, high-frequency ultrasound has high sensitivity, easy to find abnormal indication,but is not accurate enough in the diagnosis of smaller occupying lesion.
