breast tuberculosis
Introduction
Introduction to breast tuberculosis Breast tuberculosis, which is secondary to tuberculosis, intestinal tuberculosis or mesenteric lymphatic structure, is transmitted to the breast through tuberculosis, which is rare in clinical practice. Most are the result of blood-borne dissemination secondary to pulmonary or mesenteric lymph node tuberculosis, or due to adjacent tuberculosis (ribs, sternum, pleural or axillary lymph node tuberculosis) caused by retrograde dissemination or direct spread of lymphatic vessels. Initially confined to a single or several nodular masses in the breast, no pain, unclear borders can adhere to the skin, the lump liquefaction forms a cold abscess, forming one or several sinuses or ulcers after rupture, thin secretions With the bean dregs, the edge of the ulcer skin is sneak, and the smear of the secretion can be found to be resistant to acid bacteria. basic knowledge The proportion of illness: 0.001% Susceptible people: mostly occur in women aged 20 to 40 Mode of infection: respiratory transmission Complications: tuberculosis, bone tuberculosis, intestinal tuberculosis
Cause
Breast tuberculosis
Most are the result of blood-borne dissemination secondary to pulmonary or mesenteric lymph node tuberculosis, or due to adjacent tuberculosis (ribs, sternum, pleural or axillary lymph node tuberculosis) caused by retrograde dissemination or direct spread of lymphatic vessels.
Prevention
Breast tuberculosis prevention
1, pay attention to reasonable diet, balanced nutrition, strengthen physical exercise, improve the body's immunity, prevent tuberculosis.
2. Actively treat primary tuberculosis lesions.
3, eat more garlic, lily, white fungus and other foods to help the disease rehabilitation.
4, eat more fresh vegetables and fruits, do not smoke, alcohol, do not eat sour and spicy food.
5, the patient must adhere to medication, according to the doctor's advice to complete the course of treatment.
Complication
Breast tuberculosis complications Complications tuberculosis, tuberculosis, intestinal tuberculosis
Tuberculosis that can be complicated by other organs of the body, such as tuberculosis, bone tuberculosis, intestinal tuberculosis, brain tuberculosis, etc.
Symptom
Breast tuberculosis symptoms Common symptoms Skin adhesion joint abscess Breast pain nipple retraction low heat night sweats breast pain
1. Most occur in women between the ages of 20 and 40, and the course of disease is slow.
2. Initially confined to the breast, there is a single or several nodular masses, no pain, the boundary is unclear and can adhere to the skin, the lump liquefies to form a cold abscess, forming one or several sinuses or ulcers after rupture, secreting Thinner with bean dregs, the edge of the ulcer skin is sneak, and the smear of the secretion can even find acid-fast bacteria.
3. The affected axillary lymph nodes can be swollen.
4. May be accompanied by low heat, night sweats, and rapid blood sedimentation.
Examine
Breast tuberculosis examination
Breast examinations generally include:
1X line inspection;
2B super;
3 mammography;
4 computer infrared scanning;
5 breast cold light source transillumination;
6 breast heat map check;
7 breast cytology examination;
8 breast pathology examination.
Diagnosis
Diagnosis and diagnosis of breast tuberculosis
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests .
Differential diagnosis
The earliest manifestation of breast cancer is that the milk has a single, painless and progressive small mass. The mass is most common in the outer upper quadrant, followed by the nipple, the areola area and the upper upper quadrant. Often found by patients inadvertently (such as bathing, changing clothes), a small number of patients may have varying degrees of tenderness or irritation and nipple discharge, the growth of the mass is faster, invasion of surrounding tissue can cause changes in breast shape, appear A series of signs, such as: tumor surface depression; adjacent nipple cancer can lead the nipple to the direction of the cancer; nipple retraction, etc., the larger the cancer, the whole breast tissue can shrink, the mass is prominent, cancer Continue to grow and form a so-called "orange peel" change, which is an important sign of breast cancer.
Breast cancer develops to the advanced stage, the surface skin is invaded, skin induration can occur, and even the skin ulcerates and forms ulcers. The cancer invades into the deep layer and can invade the chest fascia and the chest muscles, causing the mass to be fixed on the chest wall and not easy to push.
The lymphatic metastasis of breast cancer is mostly manifested as ipsilateral axillary lymph node enlargement, initially scattered, painless, hard and small, can be pushed; the number of swollen lymph nodes increases, sticking to each other, and deep in the skin or armpit Tissue adhesion and fixation, a small number of patients may have contralateral axillary lymph node metastasis.
The distant metastasis of breast cancer, when the lungs, chest pain, shortness of breath, pleural effusion, etc.; when the vertebrae metastasis, there is severe pain or even paraplegia in the affected area; when the liver metastasis, jaundice and hepatomegaly may occur.
