Wishnitzer R, Eliraz A, Sternfeld M, Pfeffermann R
Harefuah. 1989 Aug;117(3-4):64-5.
Breast masses in the 7th decade of life should be considered cancerous and immediate diagnosis and treatment are indicated. Mammary tuberculosis is rare, especially in developed countries. It usually results from reactivation of dormant pulmonary and pleural tuberculous foci. We present a 66-year-old woman who was hospitalized for biopsy of a breast mass. 4 years previously there had been trauma to the chest, and several pleurocenteses were required to remove sterile exudate. The past history, recent immigration from an endemic area, physical examination and chest X-ray, suggested tuberculosis. Needle aspiration of the affected breast yielded M. tuberculosis. Specific therapy and corticosteroids resulted in complete cure.
70岁左右出现的乳腺肿块应被视为癌性病变，需立即进行诊断和治疗。乳腺结核较为罕见，尤其在发达国家。它通常由潜伏的肺和胸膜结核病灶重新激活所致。我们报告一位66岁因乳腺肿块活检而住院的女性。4年前胸部曾受过外伤，需要多次胸腔穿刺以清除无菌渗出液。既往史、近期从流行地区移民、体格检查及胸部X线检查提示为结核病。对患侧乳房进行针吸活检，结果发现结核分枝杆菌。采用特异性治疗及皮质类固醇治疗后实现了完全治愈。
