| 乳腺结核23例报告 |
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| 引用本文： | 龚铁群,赵洪勋,曹思之.乳腺结核23例报告[J].西安交通大学学报(医学版),1989(3). |
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| 作者姓名： | 龚铁群 赵洪勋 曹思之 |
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| 作者单位： | 西安医科大学第一附属医院外科学教研室
(龚铁群，赵洪勋)，西安医科大学第一附属医院外科学教研室(曹思之) |
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| 摘 要： | 乳腺结核属于少见疾患,临床医生易将其误诊为乳腺癌或乳腺脓肿.乳腺结核好发于20～40岁的妇女.它可分为原发性和继发性两种.结核杆菌侵入乳腺有三种途径:血运、淋巴扩散和直接侵入.乳腺结核分为结节型,弥散型和硬化型。乳腺结核的诊断是困难的.确诊的方法有穿刺液的细菌培养、组织学检查和豚鼠的接种试验.鉴别诊断包括:乳腺癌,形成脓肿的急、慢性乳腺炎和放线菌病.治疗采取手术和抗结核药物的联合应用.
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| 关 键 词： | 结核 乳腺 诊断 误诊 治疗 |
A REPORT OF 23 CASES OF TUBERCULOUS MASTITIS |
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| Gong Tiequn,et al.A REPORT OF 23 CASES OF TUBERCULOUS MASTITIS[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1989(3). |
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| Authors: | Gong Tiequn |
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| Abstract: | Tuberculosis of the breast is a rare malady.The clinician may confuse tuberculosis of the breast with either carcinoma or breast abscess.Tuberculosis ofthe breast is a disease of younger women between 20and 40 years of age.Mammary tuberculosis may be di-vided into primary or secondary.There are three recog-nized modes of spread of the tubercle bacillus to thebreast:hematogenous,lymphatic spread,and direct ex-tension.There are three recognized types of mammarytuberculosis:nodular,diffuse,and scleroid.Thediagnosis of mammary tuberculosis is difficult.Themost reliable diagnostic studies include bacteriologic cul-tures of aspirate,histologic examination of tissue,andguinea pig inoculation.The differential diagnosis in-cludes carcinoma,acute or chronic mastitis with ab-scess,and actinomycosis.The treatment of tuberculousmastitis requires a combination of surgery andantituberculous drugs. |
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| Keywords: | tuberculosis breast diagnosis misdiagnosis treatment |
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