Clinical analysis of 84 cases of intraductalpapilloma of breast without nipple discharge

VernacularTitle:无乳头溢液的乳腺导管内乳头状瘤84例临床分析
Author: Jing ZHU ; Dajiang ZHU ; Donghua ZHOU ; Zhaoxuan GUO ; Jintao CHEN ; Nuo MA ; Zhisheng ZHOU ; Ying ZHANG
Publication Type:Journal Article
Keywords: Intraductal papilloma; Nipple discharge; Ultrasonography
From: Journal of Endocrine Surgery 2015;(2):132-135
CountryChina
Language:Chinese
Abstract: Objective To summarize the clinical characteristics , diagnosis and surgical method of intra-ductal papilloma(IP)of breast without nipple discharge .Methods The clinical data of 84 IP patients(130 le-sions)without nipple discharge admitted from Feb .2011 to Oct.2013 were analyzed retrospectively .Results The age of the 84 patients were mainly ranging from 30 to 50 years old.113(86.92%)lesions were≤10 mm in size, 84(64.42%)lesions had a distance≤20 mm to nipple, 57 accompanied by adenosis , 43 accompanied by fibro-cystic adenosis , 48 accompanied by fibroadenoma , 14 with ductal hyperplasia , and 2 with atypical ductal hyper-plasia.After a follow-up of 3 to 36 months, 5 cases had recurrence , including 4 cases of IP and 1 case of ductal carcinoma in situ.Conclusions IP without nipple discharge has no typical clinical symptoms .Ultrasound exam-ination may have positive findings , but not typical .Preoperative diagnosis is difficult and surgical biopsy is rec-ommended.Multiple and atypical ductal hyperplasia has possibility of recurrence , so follow-up is necessary.