Tanrikulu Abdullah C, Abakay Abdurrahman, Abakay Ozlem, Kapan Murat
Department of Chest Diseases, School of Medicine, Dicle University.
Breast Care (Basel). 2010;5(3):154-157. doi: 10.1159/000314267. Epub 2010 May 11.
Breast tuberculosis (TB) is a very rare form of TB. Case series on breast TB are scarce. PATIENTS AND METHODS: The patients with breast TB treated between 2004 and 2008 at our hospital were retrospectively investigated. RESULTS: All patients were female (mean age 31.5 ± 8.4 years). All but 1 patient were new cases. Patients presented with swelling of the breast (48.1%), mass and fluctuation (each, 40.7%), and breast pain (18.5%). The mean treatment duration was significantly shorter in 14 patients who received directly observed therapy (DOT) compared with those (n = 12) who did not (6.7 ± 1.7 months vs. 8.5 ± 1.6 months, respectively; p = 0.01). Seven patients underwent segmental mastektomy as complementary surgery. The highest rate of breast TB was seen in 2007 (37.1% compared with 14.8% between 2004 and 2006). CONCLUSIONS: Breast TB should be considered in patients with breast neoplasia, swelling, and discharge, and can be successfully treated by DOT with shorter treatment duration.
乳腺结核是一种非常罕见的结核病形式。关于乳腺结核的病例系列报道很少。
对2004年至2008年在我院接受治疗的乳腺结核患者进行回顾性研究。
所有患者均为女性（平均年龄31.5±8.4岁）。除1例患者外，其余均为新发病例。患者表现为乳房肿胀（48.1%）、肿块及波动感（各占40.7%）和乳房疼痛（18.5%）。与未接受直接观察治疗（DOT）的12例患者相比，14例接受DOT的患者平均治疗时间明显更短（分别为6.7±1.7个月和8.5±1.6个月；p=0.01）。7例患者接受了区段乳房切除术作为补充手术。2007年乳腺结核发病率最高（37.1%，而2004年至2006年期间为14.8%）。
对于患有乳腺肿瘤、肿胀和溢液的患者应考虑乳腺结核，采用DOT可成功治疗且治疗时间较短。
