Symptoms of breast tuberculosis

Many women will feel some nodules inside their breasts when pressing them. Some will be painful, while others will not hurt or itch, and the edges are not very clear. Most of the manifestations of this type of breast nodules will also cause the patient to have low fever, night sweats or rapid erythrocyte sedimentation rate. Even if the patient does not have these symptoms, he or she needs to go to the hospital for examination. In addition to the examination, attention should also be paid to enhancing nutrition, paying more attention to rest, and adjusting the body's resistance.

Symptoms and signs

1. It mostly occurs in women aged 20 to 40 and has a slow course.

2. In the early stage, it is limited to one or several nodular lumps in one part of the breast. It is painless, has unclear boundaries and may adhere to the skin. The lump liquefies to form a cold abscess, which ruptures to form one or several sinus tracts or ulcers. The secretions are thin and accompanied by bean curd-like substances. The skin edges of the ulcers are latent, and acid-fast bacteria can occasionally be found in the smear staining of the secretions.

3. The axillary lymph nodes on the affected side may be swollen.

4. May be accompanied by low fever, night sweats, and rapid erythrocyte sedimentation rate.

It is common in women aged 20 to 40 years old. The disease progresses slowly. In the early stage, there is one or several nodules in the breast, without pain or tenderness, and with unclear boundaries with surrounding tissues. There is often skin adhesion. The axillary lymph node on the same side may be enlarged. There is no clinical fever. The pus mass forms a cold abscess after softening. It can penetrate the skin to form fistulas or sinuses, and discharge thin pus with cheesy debris. In a few patients, the mass becomes a hard mass through fibrosis, which changes the shape of the breast and causes nipple inversion, making it difficult to distinguish from breast cancer.

Treatment

1. Increase nutrition and pay attention to rest.

2. Systemic anti-tuberculosis treatment.

3. If the lesion is confined to one place, the lesion can be removed; if the area is large, simple mastectomy can be performed, and enlarged lymph nodes on the affected side can be removed as well.

4. Patients with primary lesions still need to continue anti-tuberculosis treatment after surgery.