这是结核性乳腺炎还是粒状乳腺炎? 一个大学医院的十三年的经验
Handan İnönü Köseoğlu1, Mehmet Fatih Daşıran2, Reşit Doğan Köseoğlu3
1Department of Pulmonary Diseases, Faculty of Medicine, Tokat Gaziosmanpaşa University, Tokat, Turkey.
Turkish journal of medical sciences
|July 21, 2023
概括
颗粒状乳腺炎 (GM) 和结核性乳腺炎 (TM) 的症状相似,使诊断复杂化. 多学科的方法对于准确的转基因病因诊断至关重要,特别是在高结核病发病率地区.
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 病理学 病理学 病理学
背景情况:
- 粒状乳腺炎 (GM) 是一种罕见的炎症性乳腺疾病.
- 结核性乳腺炎 (TM) 是结核病的一种罕见的肺外表现,也是转基因病的原因.
- 由于临床,放射和组织病理特征的重叠,区分GM和TM是具有挑战性的.
研究的目的:
- 评估患有GM和TM的患者的临床和放射性特征.
- 评估GM和TM的诊断技术,治疗方法和结果.
- 强调在乳腺疾病的差异诊断中考虑TM的重要性.
主要方法:
- 在2007年至2020年间,对基因病理学证实的转基因病例进行了回顾性分析.
- 收集的数据包括人口统计,症状,身体发现,成像,实验室结果,治疗方法和结果.
- 怀疑TM的诊断评估包括临床检查,胸部放射和结核素皮肤测试.
主要成果:
- 68名转基因患者 (平均年龄为35.8岁) 呈现出大质病变,疼痛,或.
- 超声波检查显示了腹/鼻腔道 (34),异质质量 (15),胀 (15),淋巴腺病 (18) 和囊 (13).
- 11名患者 (16.1%) 被诊断为TM,其中8人通过抗结核治疗实现了缓解;AFB染色/培养在所有TM病例中都是阴性.
结论:
- 转基因的病因诊断需要一个多学科的方法.
- 结核性乳腺炎应纳入结核流行地区乳腺疾病的差异诊断.
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