Erdem G, Karakas H M, Yetkin F, Alkan A, Firat A K, Kahraman B
Department of Radiology, Inonu University Medical Faculty, Turgut Ozal Medical Center, Malatya, Turkey.
Breast. 2006 Aug;15(4):554-7. doi: 10.1016/j.breast.2005.11.008. Epub 2006 Jan 5.
Brucellosis is an endemic disease seen in many countries. It may affect different organ systems. Brucellar breast abscess is a rare entity. We report the radiological findings of breast abscess due to brucella. A 63-year-old female was investigated with mammography, ultrasonography, magnetic resonance imaging (MRI), and magnetic resonance spectroscopy (MRS). A mass measuring 25 x 20 x 15 mm was detected in the left breast on mammography and ultrasonography. The mass was homogenously hyperintense on T1- and T2-weighted MRI images. On contrast-enhanced T1-weighted images, peripheral capsular enhancement was found. MR spectroscopic analysis of the mass revealed elevated lipid and acetate peaks. The diagnosis was provided by fine needle aspiration biopsy and specimen culture. The lesion had diminished in size after 12 months' treatment with combined tetracycline and rifampicine.
布鲁氏菌病是许多国家的一种地方病。它可能影响不同的器官系统。布鲁氏菌性乳腺脓肿是一种罕见的病症。我们报告了布鲁氏菌引起的乳腺脓肿的影像学表现。一名63岁女性接受了乳房X线摄影、超声检查、磁共振成像（MRI）和磁共振波谱分析（MRS）。乳房X线摄影和超声检查发现左乳有一个大小为25×20×15毫米的肿块。该肿块在T1加权和T2加权MRI图像上呈均匀高信号。在增强T1加权图像上，发现周边包膜强化。对该肿块的磁共振波谱分析显示脂质和乙酸盐峰升高。通过细针穿刺活检和标本培养做出诊断。联合使用四环素和利福平治疗12个月后，病变大小缩小。
