Baykan Ali H, Sayiner Hakan S, Inan Ibrahim, Aydin Elcin, Erturk Sukru M
Department of Radiology, Faculty of Medicine, Adiyaman University, Yunus Emre Mahallesi 1164 Sokak No:13, 02200, Merkez/Adiyaman, Turkey.
Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
Insights Imaging. 2021 Feb 15;12(1):19. doi: 10.1186/s13244-021-00961-3.
Breast tuberculosis is a rare form of extrapulmonary tuberculosis which tends to affect females of reproductive age, and is much rarer in males, postmenopausal women, and pre-pubescent girls. It is difficult to diagnose because it can mimic benign conditions such as a fibroadenoma, as well as malignant diseases like a carcinoma. It is also particularly difficult to distinguish breast tuberculosis from granulomatous mastitis, so other possible diagnoses should be ruled out first. The diagnosis of breast tuberculosis has three essential pillars: clinical examination, radiological evaluations, and histopathological sampling. Radiological evaluations are not only critical in diagnosis but are also important in the planning of the treatment and during the follow-up. This paper aims to review the imaging findings and the differential diagnosis of breast tuberculosis.
乳腺结核是肺外结核的一种罕见形式，往往影响育龄女性，在男性、绝经后女性和青春期前女孩中更为罕见。它很难诊断，因为它可以模仿诸如纤维腺瘤等良性疾病，以及像癌这样的恶性疾病。将乳腺结核与肉芽肿性乳腺炎区分开来也特别困难，因此应首先排除其他可能的诊断。乳腺结核的诊断有三个基本支柱：临床检查、影像学评估和组织病理学取样。影像学评估不仅在诊断中至关重要，而且在治疗规划和随访期间也很重要。本文旨在综述乳腺结核的影像学表现及鉴别诊断。
