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乳腺肿块:结核病的一种罕见表现。

Breast Lump: A Rare Presentation of Tuberculosis.

作者信息

Kumar Ravish M, Laxman Santosh, Parandekar Prashant

机构信息

Department of Microbiology, ESIC Medical College, Gulbarga, Karnataka, India.

Department of Surgery, ESIC Medical College, Gulbarga, Karnataka, India.

出版信息

Int J Appl Basic Med Res. 2018 Jul-Sep;8(3):187-189. doi: 10.4103/ijabmr.IJABMR_238_17.

DOI:10.4103/ijabmr.IJABMR_238_17
PMID:30123752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6082002/
Abstract

Tuberculosis presenting as breast lump is a rare disease. This condition usually occurs in females who are in the reproductive age group. Diagnosis is quite difficult unless prompt investigations are meticulously done. They are often mistaken for malignancy. We report a 19-year-old girl with tubercular breast abscess. The abscess was incised and drained based on fine-needle aspiration cytology and ultrasonography revealed it as pyogenic abscess. Ziehl-Neelsen stain (ZN stain) of the pus sample showed acid-fast bacilli. Now, she has been started on antitubercular treatment.

摘要

以乳腺肿块为表现的结核病是一种罕见疾病。这种情况通常发生在育龄期女性。除非及时进行细致的检查,否则诊断相当困难。它们常被误诊为恶性肿瘤。我们报告一例19岁患有结核性乳腺脓肿的女孩。基于细针穿刺细胞学检查对脓肿进行切开引流,超声检查显示为化脓性脓肿。脓液样本的萋-尼染色(ZN染色)显示抗酸杆菌。现在,她已开始接受抗结核治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/720d/6082002/6336119756e0/IJABMR-8-187-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/720d/6082002/d71ff100bf30/IJABMR-8-187-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/720d/6082002/6336119756e0/IJABMR-8-187-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/720d/6082002/d71ff100bf30/IJABMR-8-187-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/720d/6082002/6336119756e0/IJABMR-8-187-g002.jpg

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本文引用的文献

1
Tubercular mastitis - a great masquerader.结核性乳腺炎——一个极具伪装性的病症。
Turk Patoloji Derg. 2013;29(1):61-3. doi: 10.5146/tjpath.2013.01150.
2
Breast tuberculosis: Diagnosis, management and treatment.乳腺结核:诊断、管理与治疗
Int J Surg Case Rep. 2012;3(11):548-50. doi: 10.1016/j.ijscr.2012.07.003. Epub 2012 Jul 20.
3
Tuberculous mastitis presenting as breast abscess.表现为乳腺脓肿的结核性乳腺炎。
Oman Med J. 2011 Jan;26(1):53-5. doi: 10.5001/omj.2011.14.
4
Tuberculosis of the breast: a case report.乳腺结核:一例报告
Acta Med Iran. 2011;49(2):124-6.
5
Breast lump, a rare presentation of costochondral junction tuberculosis: a case report.乳房肿块——肋软骨关节结核的罕见表现:一例报告
Cases J. 2009 Sep 9;2:7039. doi: 10.4076/1757-1626-2-7039.
6
Mammary tuberculosis mimicking breast cancer: a case report.酷似乳腺癌的乳腺结核:一例报告
J Med Case Rep. 2008 Feb 1;2:34. doi: 10.1186/1752-1947-2-34.