Tuberculosis of axillary lymph nodes with primary breast cancer
Tuberculosis of axillary lymph nodes with primary breast cancer
复制标题
腋窝淋巴结结核伴原发性乳腺癌
DOI：
10.1007/bf02967646
复制
发表时间：
2003
期刊：
影响因子：
4
通讯作者：
H. Kuwano
中科院分区：
文献类型：
--
作者：
T. Fujii;M. Kimura;Y. Yanagita;T. Koida;H. Kuwano
摘要本文报告一个罕见的腋窝淋巴结结核合并原发性乳癌的病例。一位78岁女性，无肺结核病史，因右乳肿块入院检查。肿瘤位于右乳房的外上象限。触诊发现肿瘤直径为1.2厘米，腋窝淋巴结肿大。乳房X光摄影显示出一个毛刺状肿块和腋窝淋巴结的肿胀和钙化。超音波检查显示右侧乳房有一不规则低回声肿块，右侧腋窝淋巴结肿大，提示乳癌伴腋窝淋巴结转移。胸部X光检查显示右腋窝有聚集性钙化，右上叶有颗粒状阴影。行保乳治疗。诊断为右乳房浸润性乳头状管状癌和淋巴结钙化肉芽肿，与结核病相符。淋巴结培养检测大肠杆菌。本例提示X线检查对淋巴结结核的诊断有一定价值。当发现淋巴结肿大，X线片显示腋窝淋巴结内聚集性钙化时，应怀疑淋巴结结核。
A rare case of tuberculosis of axillary lymph nodes occurring with primary breast cancer is presented. A 78-year-old woman with no history of pulmonary tuberculosis was admitted to our hospital to undergo examination for a lump in her right breast. The tumor was in the upper outer quadrant of the right breast. On palpation, the tumor was 1.2 cm in diameter and axillary lymph node swelling was noted. Mammography disclosed a spiculated mass and swelling and calcification of the axillary lymph nodes. Sonography showed an irregular hypoechoic mass in the right breast and lymph node swelling in the right axilla, indicating breast cancer with axillary lymph nodes metastases. Chest X-ray showed clustered calcifications in the right axilla and a granular shadow in the right upper lobe. Breast conserving therapy was carried out. Invasive papillotubular carcinoma of the right breast and granulomas with calcification of lymph nodes, compatible with tuberculosis, was diagnosed. Tubercle bacillis were detected by culture of lymph nodes. This case suggests that X-ray is useful for diagnosing lymph node tuberculosis. Lymph node tuberculosis should be suspected when lymph node swelling is noted and X-ray shows clustered calcifications in axillary lymph nodes.