Strazzanti Angela, Trovato Claudio, Gangi Santi, Basile Francesco
Departement of General Surgery, Senology University Hospital of Catania, Catania, Italy.
Int J Surg Case Rep. 2018;53:9-12. doi: 10.1016/j.ijscr.2018.09.048. Epub 2018 Oct 8.
Our work has been reported in line with the SCARE criteria [21]. Mammary tuberculosis (TM) is an extremely rare condition (Khanna et al., 2000 [1]). It has been estimated to be 0.1% of breast lesions examined histologically, but it reaches 3-4% in countries such as India and Africa where the disease shows a high incidence. This disease can present a diagnostic problem in radiological and microbiological investigations, and thus extreme caution is necessary.
A 26 year-old Eritrean female with a personal history of HIV infection came to our Emergency Department showing generalized limphoadenopathy and weakness in addition to a huge right breast mass. Our examination revealed a tender mass measuring 12 × 10 cm that involved all right breast. Her skin was not erythematous and local temperature was normal. She was painless. Fine needle aspiration (FNA) showed a milky and greenish shaded fluid.
Nowadays the differential diagnosis between breast cancer and breast tuberculosis is very important, mostly in Italy and in particular in Sicily, where the massive influx of immigrants has compelled physicians to reconsider the presence of !tuberculosis.
我们的工作已按照SCARE标准[21]进行报告。乳腺结核（TM）是一种极为罕见的病症（Khanna等人，2000年[1]）。据估计，在经组织学检查的乳腺病变中，其占比为0.1%，但在印度和非洲等该病高发的国家，这一比例可达3 - 4%。这种疾病在放射学和微生物学检查中可能会带来诊断难题，因此必须格外谨慎。
一名26岁的厄立特里亚女性，有HIV感染个人史，来到我们的急诊科，除了右侧乳房有巨大肿块外，还伴有全身淋巴结肿大和虚弱症状。我们的检查发现一个压痛性肿块，大小为12×10厘米，累及整个右侧乳房。她的皮肤没有红斑，局部温度正常。她没有疼痛感。细针穿刺抽吸（FNA）显示为乳白色和带绿色阴影的液体。
如今，乳腺癌与乳腺结核之间的鉴别诊断非常重要，在意大利尤其是西西里岛更是如此，大量移民的涌入迫使医生重新审视结核病的存在情况。
