Breast tuberculosis

Outlined mostly secondary to tuberculosis, typhoid or tuberculosis mesenteric lymph structure, Hematogenous dissemination to the breast. Clinical rare. Pathology and pathogenesis are mostly secondary to pulmonary tuberculosis mesenteric lymph nodes or hematogenous dissemination of the results or because of the nearby TB lesions (ribs, sternum, pleural tuberculosis or axillary lymph node) by retrograde lymphatic spread disseminated or directly involved. Common clinical manifestations in the 20-40-year-old women, the course has been slow. Early breast within one or several nodules, without pain or tenderness, and unclear boundaries surrounding tissues, often skin adhesion, ipsilateral axillary leaching plant can be enlarged concluded. Clinical no fever. Abscess formation after softening cold abscess; Can be passed through skin or sinus fistula formation, a cheese - like discharge of thin elastic Pott, a few patients by the mass of debris become fibrosis, breast shape change and inverted nipple, and breast cancer is not easy to identify. A diagnosis. Occurred in the 20-40-year-old women, the course has been slow. 2. Initially confined to the breast is a single or several nodular mass, it is not painful, unclear border with skin adhesive, Mass liquefaction cold abscess formation, formed after the rupture of one or more sinus or ulcers, thin secretions like substance with Okara. Edge skin ulcers were prowling, secretions smear staining dual acid-fast bacteria can be found. 3. Ipsilateral axillary lymph node enlargement can. 4. Can be accompanied by fever, night sweat, ESR fast. Treatment 1. Nutrition and attention to the rest. 2. Systemic anti-tuberculosis treatment. 3. Lesions were confined to a surgical do; Scope of persons who can do simple mastectomy, the affected lymph nodes can be removed. 4. A primary lesion in patients after surgery will continue to anti-tuberculosis treatment.