Vaquero-Ramiro Elena, Puentes-Gutiérrez Ana Belén, Millán-Casas Laura, García-Bascones María
Department of Physical Medicine and Rehabilitation, Hospital Virgen de la Luz, Cuenca, Spain.
Department of Physical Medicine and Rehabilitation, Hospital Universitario de Toledo, Spain.
Eur J Breast Health. 2025 Jun 20;21(3):274-276. doi: 10.4274/ejbh.galenos.2025.2025-4-3. Epub 2025 May 27.
Breast lymphedema is a common but underdiagnosed condition that affects the quality of life of patients. It may be caused by any pathology that disrupts lymphatic drainage in the breast. We present the case of a woman with axillary lymph node tuberculous infection with breast edema, clinically and radiographically indistinguishable from tuberculous mastitis. After six months of comprehensive antituberculosis pharmacological treatment, the persistence of breast edema required repeating diagnostic tests searching for malignancy, all of which were negative. Rehabilitation treatment with complex physical therapy improved the patient's clinical and symptomatic condition. Clinical suspicion of secondary lymphedema is crucial to avoid unnecessary diagnostic procedures and ensure adequate and timely treatment.
乳腺淋巴水肿是一种常见但诊断不足的疾病,会影响患者的生活质量。它可能由任何破坏乳腺淋巴引流的病理状况引起。我们报告了一例患有腋窝淋巴结结核感染并伴有乳腺水肿的女性病例,该病例在临床和影像学上与结核性乳腺炎难以区分。经过六个月的综合抗结核药物治疗后,乳腺水肿持续存在,需要重复进行寻找恶性肿瘤的诊断检查,所有检查结果均为阴性。采用综合物理治疗的康复治疗改善了患者的临床症状。临床怀疑继发性淋巴水肿对于避免不必要的诊断程序并确保充分及时的治疗至关重要。