结核性乳腺炎表现为肿块:一种孕妇的模拟疾病病例报告及文献复习。

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Acta Clinica Belgica Pub Date : 2014-10-01 Epub Date: 2014-07-24 DOI:10.1179/2295333714Y.0000000048
A Brouwer, N Degrieck, M Rasschaert, F Lockefeer, M Huizing, W Tjalma
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引用次数: 5

摘要

乳腺结核(TB)是一种罕见的疾病,可与许多其他乳腺疾病混淆,如乳房癌或炎症性乳腺癌。当在组织学上发现肉芽肿性乳腺炎(GM)时,重要的是要进行鉴别诊断,积极寻找肺结核、结节病、韦格纳肉芽肿病或特发性肉芽肿性乳腺炎的线索,因为治疗策略不同,虐待对发病率和死亡率有重要影响。在大多数情况下,广泛的临床评估、实验室工作和影像学检查将导致正确的诊断。抗结核治疗是乳房结核的核心治疗方法,对于广泛或持续残留的疾病需要手术治疗。在此,我们报告一例结核性乳腺炎,并回顾GM的文献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tuberculous mastitis presenting as a lump: a mimicking disease in a pregnant woman case report and review of literature.

Tuberculosis (TB) of the breast is a rare entity, and can be confused with many other breast disorders, like mamma carcinoma or inflammatory breast cancer. When finding granulomatous mastitis (GM) on histology, it is important to make a differential diagnosis and seek actively for clues on the presence of tuberculosis, sarcoidosis, Wegener's granulomatosis, or idiopathic granulomatous mastitis, since treatment strategies differ and maltreatment has major implications on morbidity and mortality. An extensive clinical evaluation, laboratory work up, and imaging will lead in most cases to the right diagnosis. Anti-tuberculous therapy is the core treatment for breast TB, and surgery is indicated for extensive or persistent residual disease. Here we present a case of tuberculous mastitis and a review of literature on GM.

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来源期刊
Acta Clinica Belgica
Acta Clinica Belgica MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
0.00%
发文量
44
期刊介绍: Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.
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