Ben Hassouna J, Gamoudi A, Bouzaiene H, Dhiab T, Khomsi F, Chargui R, Sifi H, Mtaallah M, Makhlouf R, Chebbi A, Boussen H, Héchiche M, Rahal K
Service de chirurgie carcinologique, institut Salah-Azaiez, boulevard du 9-Avril, 1001 Tunis, Tunisie.
Gynecol Obstet Fertil. 2005 Nov;33(11):870-6. doi: 10.1016/j.gyobfe.2005.08.020. Epub 2005 Oct 26.
Remember the clinical, morphologic and histological particularities of mammary tuberculosis. Discuss clinical and radiological diagnostic problems caused by this localization, as far as breast cancer is concerned.
This is a retrospective study concerning 65 women suffering from mammary tuberculosis, diagnosed at Salah Azaiez Institute between January 1980 and December 2001.
In this series, mammary tuberculosis represents 0.2% of the declared tubercular localizations and 0.3% of the mammary pathologies treated at the institute. The mean age of our patients was 36 years (19 to 79). Clinical findings were misleading. In 60% of cases the aspect was of a malignant tumor, in 24.6% of cases of a benign nodule and in 16.4% of cases of an abscess. The mammography concluded to a malignant lesion in 49% of cases. The fine needle aspiration achieved at 8 patients was negative in 6 cases and brought back the caseum in the 2 others. The diagnosis has been made, for all our patients, after histological study when we found typical tuberculosis lesions on pieces of tumorectomy, or biopsy. The diagnosis of tuberculosis was established; all patients had an anti-tuberculosis medical treatment in a department of infectious diseases out of the institute.
Clinical and radiological features of mammary tuberculosis are very confusing and cause a diagnostic problem with breast cancers. In front of symptoms evoking tuberculosis, biopsies must be done to eliminate an eventual cancer.
牢记乳腺结核的临床、形态学和组织学特征。探讨就乳腺癌而言，该部位所引发的临床和放射学诊断问题。
这是一项回顾性研究，涉及1980年1月至2001年12月期间在萨拉赫·阿扎iez研究所确诊的65例乳腺结核女性患者。
在该系列中，乳腺结核占所申报结核病灶的0.2%，占该研究所治疗的乳腺疾病的0.3%。我们患者的平均年龄为36岁（19至79岁）。临床症状具有误导性。60%的病例表现为恶性肿瘤，24.6%的病例表现为良性结节，16.4%的病例表现为脓肿。乳腺钼靶检查在49%的病例中诊断为恶性病变。8例患者进行的细针穿刺抽吸，6例结果为阴性，另外2例抽出干酪样物质。对我们所有患者而言，在组织学研究发现肿瘤切除或活检切片上有典型结核病变后才做出诊断。确诊为结核后，所有患者均在研究所外的传染病科接受抗结核药物治疗。
乳腺结核的临床和放射学特征非常令人困惑，会引发与乳腺癌相关的诊断问题。面对提示结核的症状，必须进行活检以排除可能的癌症。
