Caso Clínico/Clinical Case
Tuberculose primária da mama: A propósito de um caso clinico
Primary tuberculosis of the breast: A case report
1 Assistente Hospitalar de Pneumologia, Serviço de Pneumologia – Hospital Militar de BelémLargo da Boa Hora à Ajuda, 1349-036 Lisboa
2 Assistente Hospitalar Graduado de Pneumologia, Serviço de Pneumologia – Hospital Militar de Belém Largo da Boa Hora à Ajuda, 1349-036 Lisboa
3 Chefe de Serviço de Pneumologia, Hospital Militar de BelémLargo da Boa Hora à Ajuda, 1349-036 Lisboa
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Pinto Mendes" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J. Pinto" "apellidos" => "Mendes" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915302750?idApp=UINPBA00004E" "url" => "/08732159/0000001400000005/v1_201509151438/S0873215915302750/v1_201509151438/pt/main.assets" ] "pt" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Caso Clínico/Clinical Case</span>" "titulo" => "Tuberculose primária da mama: A propósito de um caso clinico" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "677" "paginaFinal" => "686" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Emília Álvares, Sofia Furtado, João Valença, José Rosal Gonçalves, A. Pais Ruivo" "autores" => array:5 [ 0 => array:3 [ "nombre" => "Emília" "apellidos" => "Álvares" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 1 => array:3 [ "nombre" => "Sofia" "apellidos" => "Furtado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 2 => array:3 [ "nombre" => "João" "apellidos" => "Valença" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 3 => array:3 [ "nombre" => "José Rosal" "apellidos" => "Gonçalves" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 4 => array:3 [ "nombre" => "A. Pais" "apellidos" => "Ruivo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Assistente Hospitalar de Pneumologia, Serviço de Pneumologia – Hospital Militar de BelémLargo da Boa Hora à Ajuda, 1349-036 Lisboa" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente Hospitalar Graduado de Pneumologia, Serviço de Pneumologia – Hospital Militar de Belém Largo da Boa Hora à Ajuda, 1349-036 Lisboa" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Chefe de Serviço de Pneumologia, Hospital Militar de BelémLargo da Boa Hora à Ajuda, 1349-036 Lisboa" "etiqueta" => "3" "identificador" => "af0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Primary tuberculosis of the breast: A case report" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-11-13" "fechaAceptado" => "2008-04-18" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570132" "palabras" => array:3 [ 0 => "Mama" 1 => "tuberculose" 2 => "mamografia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570133" "palabras" => array:3 [ 0 => "Breast" 1 => "tuberculosis" 2 => "mammography" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">A tuberculose mamária é uma doença rara. Neste contexto, os autores apresentam o caso clínico de uma doente de 64 anos, cuja mamografia de rotina revelou nódulo na mama direita que levou a investigação etiológica. Através dos exames complementares efectuados não foi possível fazer o diagnóstico diferencial entre carcinoma da mama e lesão granulomatosa, tendo-se decidido iniciar terapêutica antibacilar, com a informação do resultado histológico de punção aspirativa do nódulo, sugestiva de tuberculose da mama. Na avaliação clínico-laboratorial, não se encontrou outro foco de infecção de tuberculose. A evolução imagiológica foi favorável, pelo que a doente prosseguiu o tratamento. Os autores salientam a baixa incidência da tuberculose primária da mama e fazem uma breve referência a esta patologia, cuja percentagem de identificação microbiológica e anatomopatológica é reduzida.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (5): 677-686</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Tuberculosis of the breast is an uncommon disease. The authors present a case of an asymptomatic 64 year-old patient whose mammography showed a right breast nodule which needed aetiological investigation. Complementary diagnostic exams did not lead to a differential diagnosis between granulomatous lesion and breast carcinoma; nodule aspiration results suggested tuberculosis of the breast but were unclear and so tuberculosis antibiotics were initiated. No other tuberculosis infectious focus was found at clinical-laboratory evaluation. Imagiology progress was favourable, so patient continued treatment. The authors highlight the low rate of primary tuberculosis of the breast and make a brief reference to the pathology, which has a low rate of microbiological and pathological-anatomical identification.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (5): 677-686</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculose primária da mama" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "E. Rodrigues da Silva" 1 => "E.F. Cavalcante" 2 => "E. Ferreira Gomes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Rev Bras Ginecol Obstet" "fecha" => "2002" "volumen" => "24" "numero" => "4" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bb0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Tewari" 1 => "H.S. Mallika" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:2 [ "titulo" => "Breast tuberculosis: diagnosis, clinical features & management – Indian Journal of Medical Research" "fecha" => "2005" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bb0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculosis of breast (study of 7 cases)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.K. Sharma" 1 => "A.L. Babel" 2 => "S.S. Yadav" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Journal of Postgraduate Medicine" "fecha" => "1991" "volumen" => "37" "paginaInicial" => "24" "paginaFinal" => "26" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1941687" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bb0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary tuberculosis of the breast mimicking carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:4 [ 0 => "B. Borges da Silva" 1 => "L.G. Santos" 2 => "P. Vítor" 3 => "Am J. Trop Med Hyg" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "fecha" => "2005" "volumen" => "73" "numero" => "5" "paginaInicial" => "975" "paginaFinal" => "976" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bb0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Kervancyoolu S, Kervancyoolu R, Ozkur A, Pirikci A. Primary tuberculosis of the breast. Diagnostic and interventional radiology. Official Journal of the Turkish Society of Radiology." ] ] ] 5 => array:3 [ "identificador" => "bb0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary tuberculosis of the breast" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.H.F. Yuen" 1 => "T.P.W. Lam" 2 => "L. Leong" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J HK Coll Radiol" "fecha" => "2003" "volumen" => "6" "paginaInicial" => "33" "paginaFinal" => "35" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bb0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mammary tuberculosis: report on 52 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:4 [ 0 => "R. Khanna" 1 => "G.V. Prasanna" 2 => "P. Gupta" 3 => "M. Kumar" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Postgraduate Medical Journal" "fecha" => "2002" "volumen" => "78" "paginaInicial" => "422" "paginaFinal" => "424" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12151660" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001400000005/v1_201509151438/S0873215915302762/v1_201509151438/pt/main.assets" "Apartado" => array:4 [ "identificador" => "43360" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Casos Clínicos/Cases Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001400000005/v1_201509151438/S0873215915302762/v1_201509151438/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915302762?idApp=UINPBA00004E" ]
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ISSN: 08732159Original language: Portuguese
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