71 KB10 KB192920262004Edelbaher, NatalijaKreuh-Kuhta, BlankaRegvat, Jurijštevilka:4letnik:73str. 211-212ISSN:1318-0347COBISSID_HOST:1523007URN:URN:NBN:SI:doc-VSSE5D5DslSlovensko zdravniško društvoZdravniški vestnikBreastDojkaPljučna tuberkulozaTuberculosisTuberculosis, pulmonaryTuberkulozaTuberkuloza dojke - redka oblika zunajpljučne tuberkuloze - prikaz primera| Tuberculosis of the breast - a rare form of extrapulmonary tuberculosis - case report|Background. There is a decline in incidence of tuberculosis in Slovenia. In most patients a tuberculosis occurs in pulmonary form. In one third of patients it appears either as combined pulmonary and extrapulmonary tuberculosis or extrapulmonary form alone, where pleura and lymph nodes are most often affected. Other localizations are rare and therefore sometimes not taken into account. Patient and methods. We present a female patient with tumorous formation in the breast, clinically and radiologicaly suspicious for neoplastic nodule. Citological examinations did not confirm neoplasm. Further microbiological and citological examinations proved the rare form of extrapulmonary tuberculosis. In addition, we also confirmed a pulmonary tuberculosis. At the end of treatment, improvement in radiological picture of the breast, clinical improvement and negativisation of cultures for Mycobacterium tuberculosis were observed. Conclusions. Determination of tumorous formations in the body is crucial because of appropriate treatment and different prognosis. Tuberculosis can grow anywhere in the bodyIzhodišča. Incidenca tuberkuloze v Sloveniji upada. Največ je bolnikov s pljučno tuberkulozo, tretjino pa predstavljajo bolniki s kombinacijo pljučne in zunajpljučne ali samo z zunajpljučno tuberkulozo, kjer so najpogosteje prizadeti plevra in bezgavke. Ostale lokalizacije so redke, zato ob omejenih spremembah na telesu na tuberkulozo včasih ne pomislimo. Bolnik in metode. Predstavljena je bolnica s tumorsko tvorbo na dojki, ki je bila klinično in radiološko sumljiva za maligni proces. S citološkimi preiskavami maligna narava lezije ni bila potrjena, po nadaljnjih mikrobioloških in citoloških preiskavah se je izkazalo, da gre za tuberkulozni proces. Pri bolnici smo dodatno potrdili še aktivno pljučno tuberkulozo. Po zdravljenju z antituberkulotiki smo opažali regres radioloških sprememb na dojki in klinično izboljšanje, v vzorcih izmečka pa kolonije niso več porasle. Zaključki. Opredelitev tumorskih procesov v telesu je pomembna zaradi ustreznega zdravljenja in različne prognoze. Tuberkuloza se lahko pojavi kjer koli v telesuTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo