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유두분비에 대한 임상적 평가
DC Field | Value | Language |
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dc.contributor.author | 박병우 | - |
dc.date.accessioned | 2016-02-19T11:22:47Z | - |
dc.date.available | 2016-02-19T11:22:47Z | - |
dc.date.issued | 2001 | - |
dc.identifier.issn | 1226-0053 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/143016 | - |
dc.description.abstract | Purpose Nipple discharge is a disturbing symptom due to the fear of breast cancer, although approximately 95% of incidents of nipple discharge arise from benign causes. This study was designed to determine a proper approach for referrals with nipple discharge. Methods One hundred and ten patients who underwent surgery due to nipple discharge were included in the study. Clinical parameters, including age, characteristics of nipple discharge, clinical breast examination findings, mammographic findings and ultrasonographic findings were analyzed in association with the pathologic diagnosis of malignancy. A chi-square test and logistic regression test were used to assess the statistical significance of the results. Results The mean age of the patients was 44.8 year-old (range: 19∼84). The most common cause diagnosed was intraductal papilloma of 58 (52.7%), followed by 18 fibrocystic changes (16.4%), 17 infiltrating ducal carcinomas (15.5%), 14 intraductal carcinomas (12.7%) and 3 duct ectasias (2.7%). The number of incidences of malignancy was 31 (28.2%). Bloody nipple discharge, nipple discharge with accompanying mass, abnormal mammographic finding and abnormal ultrasound finding were associated with malignancy in 43.2%, 55.6%, 50% and 66.7%, respectively, as compared with 11.5% in serous discharge, 22.6% in discharge without accompanying mass, 21.9% in normal mammographic finding and 52.9% in normal ultrasonographic finding, respectively. In a multivariate analysis of factors predicting malignancy, nipple discharge with accompanying mass and bloody nipple discharge were the independent risk factors. Conclusion Triple examinations including physical examination, mammogram and ultramammography would be necessary for the complete evaluation of nipple discharge and surgical excision is mandatory in cases with suspicion of cancer. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 273~276 | - |
dc.publisher | 대한외과학회 | - |
dc.relation.isPartOf | JOURNAL OF THE KOREAN SURGICAL SOCIETY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 유두분비에 대한 임상적 평가 | - |
dc.title.alternative | Clinical Evaluation of Nipple Discharge | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | 김주선 | - |
dc.contributor.googleauthor | 김승기 | - |
dc.contributor.googleauthor | 김승일 | - |
dc.contributor.googleauthor | 박병우 | - |
dc.contributor.googleauthor | 이경식 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01475 | - |
dc.relation.journalcode | J01893 | - |
dc.subject.keyword | Bloody nipple discharge | - |
dc.subject.keyword | Breast malignancy | - |
dc.subject.keyword | Triple examinations | - |
dc.subject.keyword | 혈성 유두분비 | - |
dc.subject.keyword | 유방악성종양 | - |
dc.subject.keyword | 삼중 검사 | - |
dc.contributor.alternativeName | Park, Byeong Woo | - |
dc.contributor.affiliatedAuthor | Park, Byeong Woo | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 61 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 273 | - |
dc.citation.endPage | 276 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.61(3) : 273-276, 2001 | - |
dc.identifier.rimsid | 38703 | - |
dc.type.rims | ART | - |
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