伊朗东北部的乳房结核：22 例回顾。
Breast tuberculosis in northeast Iran: review of 22 cases.
机构信息
School of Public Health, Epidemiology and Biostatistics Department, Tehran University of Medical Sciences, 5TH Floor, Poorsina St, Keshavarz Ave, Postal Box: 14155-6446, Tehran, Iran.
出版信息
BMC Womens Health. 2014 May 31;14:72. doi: 10.1186/1472-6874-14-72.
BACKGROUND
Breast tuberculosis (breast TB) is an extremely rare disease, so case reviews are also rare.
METHODS
This study is a retrospective review of patients with breast TB who were treated between 2002 and 2012 at the Health Center of Gorgan City.
RESULTS
All 22 patients were females, their mean age was 32.4 years, and all were new cases. Patients presented with swelling of the breast (22%), lump (55%) and excretion from the involved breast (27%), and breast pain (55%). The highest rate of breast TB occurred in 2011 (27%). All patients received the DOTS regimen for a mean duration of 7.3 ± 0.7 months; in addition, segmental resection was performed on 11 patients (50%).
CONCLUSIONS
The findings confirmed that breast TB in Iran should be considered as a differential diagnosis of breast masses. All patients in our study received the daily and 'Directly Observed Treatment Short-course' (DOTS) regimens. Anti-tubercular therapy for six months with or without minimal surgical intervention currently is the main treatment.
背景
乳房结核（乳房 TB）是一种极为罕见的疾病，因此病例回顾也很少见。
方法
本研究回顾性分析了 2002 年至 2012 年在戈尔甘市医疗中心治疗的 22 例乳房 TB 患者。
结果
所有 22 例患者均为女性，平均年龄为 32.4 岁，均为初发患者。患者表现为乳房肿胀（22%）、肿块（55%）和受累乳房分泌物（27%）和乳房疼痛（55%）。乳房结核发病率最高的是 2011 年（27%）。所有患者均接受 DOTS 方案治疗，平均疗程为 7.3±0.7 个月；此外，11 例患者（50%）接受了节段切除术。
结论
研究结果证实，伊朗应将乳房 TB 视为乳房肿块的鉴别诊断。本研究中的所有患者均接受了每日和“直接观察治疗短期疗程”（DOTS）方案治疗。目前，6 个月的抗结核治疗加或不加最小手术干预是主要治疗方法。
Zotero 插件