Sabageh Donatus, Amao Emmanuel Afolabi, Ayo-Aderibigbe A Adebisi, Sabageh Adedayo Olukemi
Department of Morbid Anatomy and Histopathology, Ladoke Akintola University of Technology Teaching Hospital, Ogbomoso, Oyo State, Nigeria.
Shalom Medical Centre, Ogbomoso, Oyo State, Nigeria.
Pan Afr Med J. 2015 Jun 15;21:125. doi: 10.11604/pamj.2015.21.125.6336. eCollection 2015.
Tuberculous mastitis is an uncommon disease even in countries where tuberculosis is highly endemic. It typically presents a diagnostic challenge masquerading as carcinoma or other primary disease of the breast. We report the case of a young multiparous Nigerian woman who presented with a tender left breast lump and enlargement of the left axillary lymph nodes for which a provisional diagnosis of carcinoma of the breast was made after clinical and radiological evaluation. The mass was pathologically diagnosed as tuberculous mastitis and anti-tuberculous therapy was instituted although she later absconded. This case shows that TM may present a diagnostic challenge on clinical, radiologic and microbiological investigation. Therefore, a high index of suspicion as well as FNAC and/or histological evaluation of tissue samples remain very important its diagnosis.
即使在结核病高度流行的国家，结核性乳腺炎也是一种罕见疾病。它通常表现为诊断难题，常伪装成乳腺癌或其他乳腺原发性疾病。我们报告一例年轻的多产尼日利亚女性病例，她因左侧乳房出现压痛性肿块及左侧腋窝淋巴结肿大就诊，经临床和影像学评估后初步诊断为乳腺癌。该肿块经病理诊断为结核性乳腺炎，并开始进行抗结核治疗，不过她后来擅自离开了。此病例表明，结核性乳腺炎在临床、放射学和微生物学检查中可能带来诊断挑战。因此，高度的怀疑指数以及对组织样本进行细针穿刺抽吸活检（FNAC）和/或组织学评估对于其诊断仍然非常重要。
