유두 분비물을 원인으로 하여 시행한 Galactography의 유용성에 관한 고찰

The Usefulness of Galactography for the Evaluation of Nipple Discharge Analysis and Comparison with Mammography, Breast Sonography

Purpose : To evaluate the usefulness of galactography compared with mammography and breast sonography in patients with nipple discharge. Materials and methods : This study was retrospectively conducted in 79 patients with nipple discharge who underwent galactography in our hospital from April in 2004 to July in 2008. Telebrix was used as a contrast medium There were digital mammography (GE Senography TM 2000D) and sono medical system (Philips Medical system, Bothwll, WA / HDl-5000, iU22) as a device for this study. First of all, we accessed Galactography, Mammography and breast sonography using BI-RADS classification and analyze pathology from surgery and biopsy over BI-RADS C3 lesion. The last, we find out the availability of galactography compared with pathology and analyzed the result of galactography. Results : Among 79 patients who underwent galactography, 55 were revealed as over BI-RADS C3 lesion. In mammography, 20 of that 55 were normal as Bl-RADS C1 or C2 lesion, other 12 were diagnosed as BI-RADS C1 or C2 lesion, then recommended further study. In breast sonography, 43 of 55 were consistent with BI-RADS C3 lesion. 9 were not found the lesion in mammography and breast sonography, but found the suspicious lesion in galactography. Conclusion : Galactography is useful for the patient with nipple discharge diagnosed breast disease, especially intraductal papilloma (IDP).