女性乳腺结核1例并文献复习

Female breast tuberculosis in a case and literature review

目的探讨乳腺结核(BTB)的诊治,提高临床对该病的认知。方法分析武汉市金银潭医院收治的1例罕见的硬化型乳腺炎患者的诊治经过,并总结目前BTB的诊治新进展。结果患者经过结核分枝杆菌抗酸染色涂片、结核菌素皮肤试验、结核感染T细胞检测、细针穿刺吸取细胞学检查、超声、CT、组织病理等多种检测手段,仍难以确诊;后采取诊断性抗结核治疗,疗效确切最终确诊。结论BTB的早期诊断及鉴别困难,需要充分认识、全面求证,必要时严格把握诊断性抗结核治疗指征。

Objective To explore the diagnosis and treatment of breast tuberculosi(BTB),in order to improve the cognitive level on this disease in clinic.Methods The diagnosis and treatment process in 1 rare case of sclerotic type tuberculous mastitis in the Wuhan Jinyintan Hospital was analyzed,and the new progress in the diagnosis and treatment of BTB was summarized.Results The patient conducted the multiple detection means such as the acid-fast stain smear of Mycobacterium tuberculosis,tuberculin skin test,T-cell detection for tuberculosis infection,fine needle aspiration cytology,ultrasound,CT,histopathology and other detection methods,but the diagnosis was still difficult.Then the diagnostic anti-tuberculosis treatment was adopted,and its effect was definite,finally the diagnosis was made.Conclusion Early diagnosis and differential diagnosis of BTB is very difficult,which requires the sufficient understand and comprehensively verification,and the indication of the diagnostic anti-tuberculosis treatment is strictly grasped when necessary.