Rakoto-Ratsimba H N, Samison L H, Razafimahandry H J C, Rakototiana A F, Imbiki Z, Ranaivozanany A
Service des Urgences Chirurgicales, Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona (CHU-JRA), Armpefiloha, BP 4150 Antananarivo 101, Madagascar.
Med Trop (Mars). 2005 Sep;65(4):355-8.
Breast tuberculosis is rare. It usually involves young women of childbearing age. The purpose of this report is to describe two cases of breast tuberculosis observed in Madagascar with focus on epidemiological, clinical, and therapeutic features. Infection of the breast is usually secondary by lymphatic, contiguous, or, more rarely haematogenous spreading. Primary infection is uncommon. The most frequent clinical form is the fistulised nodular form observed in both patients described in this report. The diffuse form is the least common form and the sclerous form occurs in the elderly. Histology is a valuable diagnostic tool if bacteriological findings are inconclusive. Patients respond favourably to antimycobacterium treatment with or without surgery.
乳腺结核较为罕见。它通常累及育龄期年轻女性。本报告的目的是描述在马达加斯加观察到的两例乳腺结核病例，重点关注其流行病学、临床和治疗特征。乳腺感染通常是由淋巴、邻近组织或更罕见的血行播散继发而来。原发性感染并不常见。最常见的临床形式是本报告中描述的两名患者均出现的瘘管性结节型。弥漫型是最不常见的类型，硬化型多见于老年人。如果细菌学检查结果不明确，组织学检查是一种有价值的诊断工具。无论是否进行手术，患者对抗分枝杆菌治疗反应良好。
