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Journal Information
Vol. 14. Issue 5.
Pages 677-686 (September - October 2008)
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Vol. 14. Issue 5.
Pages 677-686 (September - October 2008)
Caso Clínico/Clinical Case
Open Access
Tuberculose primária da mama: A propósito de um caso clinico
Primary tuberculosis of the breast: A case report
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Emília Álvares1, Sofia Furtado1, João Valença2, José Rosal Gonçalves2, A. Pais Ruivo3
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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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.

Rev Port Pneumol 2008; XIV (5): 677-686

Palavras-chave:
Mama
tuberculose
mamografia
Abstract

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.

Rev Port Pneumol 2008; XIV (5): 677-686

Key-words:
Breast
tuberculosis
mammography
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Copyright © 2008. Sociedade Portuguesa de Pneumologia/SPP
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