Symptoms of breast tuberculosis

summary

Breast will suffer from tuberculosis, such a disease will undoubtedly affect their normal work and study, there are generally two cases, one is the patient suffering from tuberculosis, Mycobacterium tuberculosis through blood circulation into the breast, in the breast growth, reproduction, damage breast tissue caused by lesions. But the primary tuberculosis lesions may be cured, or the lesions are very small, can not be found out. Another case is that the patient has chest wall tuberculosis, and then the tuberculosis lesions directly spread to the breast, this situation is called secondary. Let me share with you the symptoms of breast tuberculosis.

Symptoms of breast tuberculosis

First: Patients with breast tuberculosis are almost young and middle-aged women, 10 to 20 years earlier than the onset age of breast cancer. Breast tuberculosis is also slowly developed, the beginning is a lump in the breast, a little pain, hand touch up also feel a little pain, not red. Later, necrosis and liquefaction occurred in the center of the hard mass (turned into thin bean curd like), at this time, the skin and the mass adhered together, and became purplish red, and finally burst.

Second: after ulceration, the wound does not close for a long time, forming a chronic sinus. One end of the sinus is on the skin, the other end is deep in the breast, and some pus often flows out. When the lesion is close to the nipple and areola area, the nipple will sink inward, the nipple will flow fluid, and the lymph nodes under the fluid are often swollen. Because the tuberculous lesions in the lymph nodes also liquefy and invade the tissues in the armpit, causing inflammation around the axillary lymph nodes, and the lymph nodes can adhere into blocks. These phenomena are similar to breast cancer, so sometimes they may be misdiagnosed as breast cancer.

Third: medication is rarely effective, and most require surgery. If the lesion is limited to a part of the breast, and the patient is still very young, especially unmarried young people, the diseased tissue or part of the breast can be removed according to the situation. If the lesion is extensive, the entire breast can only be removed. If the axillary lymph nodes are conglutinated or ulcerated, they can also be removed at the same time. No matter before and after the operation, we should use drugs to treat tuberculosis. For tuberculosis from the chest wall, the initial lesions are mostly under the ribs, outside the pleura. If this part of the disease is not thoroughly treated, it will recur in the future.

matters needing attention

Very few patients and breast cancer exist at the same time, so it can not be considered that breast tuberculosis is a benign disease without surgery. After the operation, pathological examination should be done. If it is proved that there is cancer at the same time, radical mastectomy and other adjuvant treatment should be added. Segmental resection was performed in patients with limited lesions. Simple mastectomy can be considered for patients with extensive lesions, multiple lesions, persistent tuberculous sinus and severe breast deformation. Axillary lymph node dissection can be performed in patients with axillary lymph node tuberculosis. If breast tuberculosis coexists with or communicates with chest wall or rib tuberculosis, debridement of chest wall or rib can be performed at the same time. The incision can be sutured in stage I with 1.0g streptomycin powder. The patients with breast tumor were treated with radical mastectomy according to the disease stage, and the postoperative adjuvant therapy was determined according to the pathology and disease stage.