Otu A A
Department of Surgery, College of Medical Sciences, University of Calabar, Nigeria.
J R Coll Surg Edinb. 1990 Dec;35(6):373-5.
A detailed prospective clinical study of 238 women presenting with benign breast swellings in the South Eastern equatorial rainforest of Nigeria clearly shows that 94% of lesions were due to two disorders, fibroadenomas and bacterial infections, and that they affected mostly young women in the peak of their reproductive life. Fibroadenoma which accounted for disease in no less than 69% of the women was multiple in 8%, bilateral in 11%, and was considered giant in size in 5% of the cases; by contrast, fibroadenosis was rare, accounting for swellings in only eight patients. Bacterial infections, chronic pyogenic mastitis and tuberculosis together caused breast swellings in 25% of the women studied. In tropical Africa, multiple chronic discharging sinuses suggest tuberculosis of the breast.
对尼日利亚东南部赤道雨林地区238名出现乳腺良性肿胀的女性进行的一项详细前瞻性临床研究清楚地表明，94%的病变是由两种病症引起的，即纤维腺瘤和细菌感染，而且它们主要影响处于生育高峰期的年轻女性。纤维腺瘤在不少于69%的女性中引发疾病，其中8%为多发性，11%为双侧性，5%的病例被认为是巨大型；相比之下，纤维腺病很少见，仅8名患者的肿胀由其引起。细菌感染、慢性化脓性乳腺炎和结核病共同导致了25%受试女性的乳腺肿胀。在热带非洲，多个慢性流脓窦道提示乳腺结核。
