Zhang B N
Zhonghua Jie He He Hu Xi Za Zhi. 1989 Oct;12(5):290-1, 319.
The authors report 15 patients with tuberculosis of the breast initially misdiagnosed as breast cancers. Criteria of differentiation of breast tuberculosis were: incidence (Tbc: cancer = 1: 245), lacking in constant site of involvement, possible concomitant involvement of other organs, eg. lung tuberculosis, youth of the patient, multi-para and history of breast feeding, in isolated cases, co-existence of tuberculosis and cancer is not impossible. The authors stress meticulous care in evaluating the history, symptoms, signs and supplementary examinations. Needle biopsy and pathology are indicated.
作者报告了15例最初被误诊为乳腺癌的乳腺结核患者。乳腺结核的鉴别标准为:发病率(结核:癌症 = 1:245),受累部位不固定,可能合并其他器官受累,如肺结核,患者年轻、多产及有哺乳史,个别情况下,结核与癌症并存并非不可能。作者强调在评估病史、症状、体征及辅助检查时要细致入微。需进行针吸活检及病理检查。