Utility value of breast ultrasound and ductoscopy in the diagnosis of intraductal papilloma
10.3760/cma.j.cn115807-20240923-00299
- VernacularTitle:乳腺超声与乳管镜检查在乳腺导管内乳头状瘤诊断中的效用价值及对诊断效能的影响
- Author:
Teng ZHANG
1
;
Chao ZHANG
1
;
Hongchuan JIANG
1
Author Information
1. 首都医科大学北京朝阳医院乳腺外科，北京 100006
- Publication Type:Journal Article
- Keywords:
Intraductal papilloma;
Breast ultrasound;
Ductoscopy
- From:
Chinese Journal of Endocrine Surgery
2025;19(2):163-166
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the utility value of breast ultrasound and ductoscopy in the diagnosis of intraductal papilloma, and to provide new clinical data for the diagnosis of intraductal papilloma.Methods:Clinical data of 150 patients admitted to Beijing Chaoyang Hospital Affiliated to Capital Medical University diagnosed with intraductal papilloma by pathological examination from Mar. 2023 to Sep. 2023 were collected, all of whom underwent pathological examination, ductoscopy and breast ultrasound examination. The pathological diagnosis result was the gold standard, and the diagnosis result and the combined diagnosis result were compared.Results:The diagnostic accuracy rates for ultrasound examination, ductoscopy, and their combined examination were 78.67% (118/150) ,80.67% (121/150) , and 90.67% (136/150) , respectively. Statistical analysis showed that the accuracy rate of combined examinations was significantly higher than that of single examinations ( P<0.05) . In terms of diagnostic efficacy, the sensitivity of ultrasound examination was 60.32%, with a specificity of 73.21%; the sensitivity of ductoscopy was 68.57%, with a specificity of 75.42%; while the combined examination achieved a sensitivity of 81.45% and a specificity as high as 89.69%, both significantly better than those of single examinations ( P<0.05) . This indicates that the combination of ultrasound and ductoscopy can effectively improve the diagnostic efficacy of intraductal papilloma in breast tissue. Conclusions:The combination of ductoscopy and ultrasound to the diagnosis of intraductal breast papilloma is significantly improved. In addition, this combined examination method also shows the unique advantages in distinguishing the benign and malignant mammary intraductal lesion, providing a more accurate diagnostic basis for clinical practice, with high practical value and promotion significance.
