Goldman K P
Tubercle. 1978 Mar;59(1):41-5. doi: 10.1016/0041-3879(77)90024-1.
The case histories of five women patients with mammary tuberculosis are described. All were treated by surgical excision of the lesion followed by antituberculosis chemotherapy. Recovery was uncomplicated in four of the patients but the fifth had a recurrence after 6 months for which a second operation was required. Tuberculosis of the breast is rarely diagnosed by clinical methods alone. The main problem is to distinguish it from pyogenic abscess in young women and from mammary carcinoma in older women. Surgical excision is often needed to prove the diagnosis. All patients should be given a standard course of chemotherapy but the value of surgery in the treatment of this disease has yet to be assessed.
描述了五例女性乳腺结核患者的病历。所有患者均接受了病变手术切除，随后进行抗结核化疗。四名患者康复过程顺利，但第五名患者在6个月后复发，需要进行第二次手术。乳腺结核很少仅通过临床方法诊断。主要问题是将其与年轻女性的化脓性脓肿以及老年女性的乳腺癌区分开来。通常需要手术切除来证实诊断。所有患者都应接受标准疗程的化疗，但手术在这种疾病治疗中的价值尚待评估。
