Göksoy E, Düren M, Durgun V, Uygun N
Department of Surgery, Cerrahpaşa Medical Faculty, University of Istanbul, Turkey.
Eur J Surg. 1995 Jul;161(7):471-3.
To present our 20 years experience of tuberculosis of the breast.
Retrospective study.
Teaching hospital, Turkey.
9 women with tuberculous mastitis.
Cure.
All cases underwent frozen section and excision. One required a simple mastectomy because of the extent of destruction; the remainder underwent lumpectomy. All patients were given rifampicin, ethambutol, and isoniazid, and the three who had tuberculosis of other organs were also treated with streptomycin. Mean follow up was 87 months (range 6-178) and two patients were lost to follow up, at three and six years, respectively. Histological examination showed the presence of tubercle and central caseation in 8 cases and granulomatous infiltration in one.
Tuberculous mastitis is rare, and should be suspected in any woman with persistent breast abscesses and sinuses, particularly if she lives in an area from which tuberculosis has not been eradicated. Conservative surgery and antituberculous drugs are the treatment of choice.
介绍我们20年来乳腺结核的诊治经验。
回顾性研究。
土耳其的教学医院。
9例患结核性乳腺炎的女性。
治愈情况。
所有病例均接受了冰冻切片及切除术。1例因破坏范围广而需行单纯乳房切除术；其余患者接受了肿块切除术。所有患者均给予利福平、乙胺丁醇和异烟肼治疗，3例合并其他器官结核的患者还加用了链霉素治疗。平均随访87个月（范围6 - 178个月），2例患者分别在3年和6年失访。组织学检查显示，8例有结核结节及中央干酪样坏死，1例有肉芽肿浸润。
结核性乳腺炎较为罕见，对于任何患有持续性乳房脓肿和窦道的女性均应怀疑此病，尤其是居住在尚未根除结核病地区的女性。保守手术及抗结核药物是首选治疗方法。
