Cohen C
S Afr Med J. 1977 Jul 2;52(1):12-4.
During a review of 67 cases of mastitis, 34 were diagnosed as cases of tuberculous mastitis. The majority of the patients with tuberculous mastitis were Black women. The mean age of the patients was 34 years. One patient was lactating and several were of postmenopausal age. All presented with unilateral breast masses, thought to be inflammatory in 10 and neoplastic in 10. In none was tuberculosis suspected clinically. The diagnosis of tuberculosis was based on the histopathological demonstration of tubercles, caseation and a granulomatous inflammation, with acid-fast bacilli in 5 instances. The differential diagnoses included duct ectasia, a foreign-body giant-cell reaction with fat necrosis, foreign material or an abscess, granulomatous mastitis, fungal mastitis, sarcoidosis and a syphilitic gumma.
在对67例乳腺炎病例进行回顾时，34例被诊断为结核性乳腺炎。结核性乳腺炎患者大多数为黑人女性。患者的平均年龄为34岁。1例患者正在哺乳期，数例为绝经后年龄。所有患者均表现为单侧乳房肿块，其中10例被认为是炎性的，10例被认为是肿瘤性的。临床上无一例怀疑为结核病。结核病的诊断基于结核结节、干酪样坏死和肉芽肿性炎症的组织病理学表现，5例发现抗酸杆菌。鉴别诊断包括导管扩张症、伴有脂肪坏死的异物巨细胞反应、异物或脓肿、肉芽肿性乳腺炎、真菌性乳腺炎、结节病和梅毒瘤。
