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Tubercular mastitis: An institutional experience from a tertiary care centre of northern India

机译:结核性乳腺炎:来自印度北部三级护理中心的机构经验

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Background: Tuberculous mastitis (TM) is a rare extra pulmonary presentation of tuberculosis. It may be problematic to distinguish from carcinoma breast, a condition with which it may coexist. Fine needle aspiration cytology (FNAC) / biopsy are indispensable for diagnosis and tuberculosis culture when positive may be very valuable to guide antimicrobial therapy.Aims and Objectives: To disseminate the message to the concerned expertise that it can present a diagnostic problem on radiological and microbiological investigations, and thus a high index of suspicion is needed.Materials and Methods: 19 cases of tubercular mastitis between January 2012 to March 2014 were identified and included in the present study. Cytology and biopsy alongwith AFB stain was done for confirmation.Results:?Age ranged between 23- 55 years (median 33 years). Axillary nodes were palpable in 9 (47.3%) patients. Acid Fast Bacilli stain which was positive in only 3 patients. All the 19 patients were started on antitubercular treatment.Conclusion: This study highlights the importance of early diagnosis and aggressive medical and if required surgical management to cure this disease.Asian Journal of Medical Sciences Vol.8(3) 2017 72-75
机译:背景:结核性乳腺炎(TM)是一种罕见的肺结核性肺外表现。与乳腺癌并存可能是一种问题。细针穿刺细胞学检查(FNAC)/活检对于诊断和结核病培养必不可少,当阳性可能对指导抗微生物治疗非常有价值。材料与方法:确定2012年1月至2014年3月期间的19例结核性乳腺炎病例并将其纳入本研究。进行细胞学和活检以及AFB染色以确认结果。结果:年龄在23-55岁之间(中位33岁)。 9例(47.3%)患者可触及腋窝淋巴结。耐酸杆菌杆菌染色,仅3例呈阳性。 19例患者均开始接受抗结核治疗。结论:本研究强调了早期诊断和积极治疗的重要性,以及是否需要手术治疗以治愈这种疾病。亚洲医学杂志2017年第8(3)期72-75

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