METHODS: Eighty-seven cases demonstrating granulomatous lesions on breast biopsy were identified. Of these, 49 patients who were treated with ATT and had at least two serial ultrasound follow-ups were included in our study. Mammogram and ultrasound were used for initial imaging. Subsequently, ultrasound was used for serial follow-up. Mantoux skin test, acid fast staining and histological examination of tissue sample were the other investigations used.
RESULTS: Radiologically, on ultrasound, well-circumscribed hypoechoic masses were noted in 18 patients, followed by ill-defined collections with tubular extensions in 15 cases, abscesses in 8, and a focal heterogeneity in 8 patients. Following ATT, 17 patients showed radiological resolution in 4 weeks, 18 of them at 3 months, and nine of them in 6 months.
CONCLUSIONS: Excellent and prompt radiological response to ATT, indicates the need for a high degree of suspicion for tuberculous mastitis (TBM), in endemic countries, even though microbiological tests may turn out negative.
方法:分析87例乳腺活检显示肉芽肿性病变的患者。其中,我们的研究包括49例接受ATT治疗并至少进行了两次连续超声随访的患者。乳房X线照片和超声用于初始成像。随后,超声用于连续随访.Mantoux皮肤测试,抗酸染色和组织样本的组织学检查是其他使用的研究。
结果:放射学,在超声波上,在18例患者中注意到界限清楚的低回声肿块,其次是15例带有管状延伸的不明确集合,脓肿8例,局灶性异质性8例。ATT之后,17例患者在4周内表现出放射学分辨率,其中18人在3个月时,6个月内有9个.
结论:对ATT的出色和迅速的放射学反应,表明需要高度怀疑结核性乳腺炎(TBM),在流行国家,即使微生物测试结果可能是阴性的。