关键词: Abscess Breast lump Breast tuberculosis Mastitis Ultrasound

来  源:   DOI:10.1016/j.radcr.2024.05.041   PDF(Pubmed)

Abstract:
Primary breast tuberculosis is a rare disease under extrapulmonary tuberculosis category. It tends to affect females of reproductive age rather than postmenopausal women or prepubescent girls. This rare form of disease poses a challenge in diagnosing as imaging can mimic the appearance of both benign and malignant breast lesions. We describe a case of primary breast tuberculosis in a young female who presented with a persistent left breast lump. and was diagnosed with chronic left breast abscess. Histopathological examination of the lesion was consistent with granulomatous mastitis, secondary to mycobacterium tuberculosis infection. The patient was treated with a 6-month course of anti-tuberculosis drug with complete resolution of the symptoms and the left breast lesion on serial ultrasound imaging.
摘要:
原发性乳腺结核是肺外结核范畴下的罕见疾病。它倾向于影响育龄女性,而不是绝经后妇女或青春期前女孩。这种罕见的疾病形式对诊断提出了挑战,因为成像可以模拟良性和恶性乳腺病变的外观。我们描述了一名年轻女性的原发性乳腺结核病例,该病例表现为持续的左乳房肿块。被诊断为慢性左乳腺脓肿.病变的组织病理学检查与肉芽肿性乳腺炎一致,继发于结核分枝杆菌感染。患者接受了为期6个月的抗结核药物治疗,并在连续超声成像中完全缓解了症状和左乳腺病变。
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