Kalaç N, Ozkan B, Bayiz H, Dursun A B, Demirağ F
Atatürk Chest Disease and Chest Surgery, Training and Research Hospital, Ankara, Turkey.
Breast. 2002 Aug;11(4):346-9. doi: 10.1054/brst.2002.0420.
Breast tuberculosis is a rare form of tuberculosis. Of all the breast diseases treated surgically, tuberculosis is seen in the range between 0.025% and 0.1%. This ratio is higher in undeveloped countries. We presented five cases with breast tuberculosis. Their ages were between 20 and 63 years. All of them had children and were breastfeeding. The cause of admission to the hospital was swelling in four of them and pain in the remainder. All of the lesions were unilateral. One case had received antituberculosis treatment for pulmonary tuberculosis 10 years ago. AAFB was not detected in sputum, breast discharge, urine and tissue culture in all the cases. Diagnosis was made histopathologically from the excisional biopsy material. Caseating granulomatosis was also found in axillary lymph nodes in three cases. Antituberculosis therapy was planned as 2HRZE/4HR for all of the cases. Three of them completed the therapy without any complaints. One case left the hospital without permission. The last one is now undergoing resistant tuberculosis treatment for pulmonary disease without any complaint of her breast. As a conclusion, although tuberculosis of breast is extremely rare, it should be kept in mind particularly in developing and undeveloped countries.
乳腺结核是一种罕见的结核病形式。在所有接受手术治疗的乳腺疾病中，结核病的比例在0.025%至0.1%之间。在不发达国家，这一比例更高。我们报告了5例乳腺结核病例。她们的年龄在20岁至63岁之间。她们均育有子女且正在哺乳。入院原因中，4例是乳房肿胀，其余1例是疼痛。所有病变均为单侧。1例患者10年前曾因肺结核接受抗结核治疗。所有病例的痰液、乳头溢液、尿液及组织培养均未检测到抗酸杆菌。通过切除活检材料进行组织病理学诊断。3例患者的腋窝淋巴结也发现了干酪样肉芽肿。所有病例均计划采用2HRZE/4HR方案进行抗结核治疗。其中3例无任何不适地完成了治疗。1例擅自离院。最后1例目前正在接受耐药性肺结核治疗，其乳房无任何不适。总之，尽管乳腺结核极为罕见，但在发展中国家和不发达国家尤其应予以重视。
