WILSON T S, MACGREGOR J W
Can Med Assoc J. 1963 Nov 30;89(22):1118-24.
Tuberculosis of the breast is a rare disease. It may be primary-confined to the breast, or secondary to tuberculosis elsewhere. Five cases are reported of which three were primary.The clinician confuses the disease with pyogenic breast abscess and cancer. The pathologist may confuse the disease with comedomastitis. Definite diagnosis must rest on bacteriological proof, that is, positive tuberculous culture and guinea-pig inoculation.Treatment of the disease may be either medical or surgical. Medical treatment in our hands has been long and expensive, and the disease tends to reappear in further pregnancies. Surgical treatment, which usually consists of simple mastectomy, is preferable.
乳腺结核是一种罕见疾病。它可能是原发性的——局限于乳腺，或者是继发于其他部位的结核。本文报告了5例，其中3例为原发性。临床医生常将该病与化脓性乳腺脓肿及癌症相混淆。病理学家可能会将该病与粉刺性乳腺炎相混淆。明确诊断必须依靠细菌学证据，即结核培养阳性和豚鼠接种阳性。该病的治疗可以是药物治疗或手术治疗。在我们的经验中，药物治疗疗程长且费用高，并且该病在再次妊娠时往往会复发。手术治疗通常包括单纯乳房切除术，更为可取。
