Ochoa Aguilar Manuel Antonio, Ortiz Martínez Juan David
IMSS-Oportunidades, Delegacioń Veracruz Norte.
Ginecol Obstet Mex. 2009 Jun;77(6):282-6.
Breast tuberculosis is a rare form of tuberculosis, in developed nations its prevalence is 0.1%. In undeveloped nations it is between 3 and 4%. Less frequently breast tuberculosis cases are presented. Some texts deals with simple mastectomy cases understood as breast cancer (6, 8, 9). There is a case. She is a 35 years old woman; she is from Piedras Clavadas, Tihuatlán. She belongs to high prevalence tuberculosis community, and she has not received BCG vaccine. She presents painful tumor which has developed during 3 months in her left breast, and armpit adenomegaly. The ultrasonography report presents back breast abscesses and low response to antibiotic treatment. Chronic granulomatous mastitis with focal cheesy necrosis and isoleted Langhans' giant cells responding positively to antituberculosis treatment are reported by the biopsy.
乳腺结核是一种罕见的结核病形式，在发达国家其患病率为0.1%。在不发达国家，患病率在3%至4%之间。乳腺结核病例较少出现。一些文献将单纯乳房切除术病例视为乳腺癌（6、8、9）。有一个病例。她是一名35岁的女性，来自蒂瓦特拉恩的皮埃德拉斯克拉瓦达斯。她属于结核病高流行社区，且未接种卡介苗。她左乳出现疼痛性肿块，已持续3个月，伴有腋窝淋巴结肿大。超声检查报告显示乳腺后部脓肿，对抗生素治疗反应不佳。活检报告显示为慢性肉芽肿性乳腺炎，伴有局灶性干酪样坏死和散在的朗汉斯巨细胞，对抗结核治疗呈阳性反应。
