O'Reilly M, Patel K R, Cummins R
Department of Radiology, Queen Mary's University Hospital, Roehampton, London, United Kingdom.
Mil Med. 2000 Oct;165(10):800-2.
Breast infections caused by Mycobacterium tuberculosis, although rare in western countries, should not be forgotten as a cause of a breast lump presenting clinically and radiologically as a carcinoma in the older patient who gives a history of previous tuberculosis. We report the case of an 84-year-old woman with a breast lump showing noncaseating granulomas on histology who developed a sinus track after excision biopsy of the lump. The patient responded to empiric treatment with anti-tuberculosis drugs and remains well 2 years after presentation.
由结核分枝杆菌引起的乳腺感染，虽然在西方国家很少见，但对于有既往结核病史的老年患者，临床上和影像学上表现为癌的乳腺肿块，不应忽视它作为病因的可能性。我们报告一例84岁女性，其乳腺肿块组织学检查显示非干酪样肉芽肿，肿块切除活检后形成了窦道。该患者对抗结核药物的经验性治疗有反应，就诊后2年情况良好。
