Abstract

GONZALES MURO, Denys Janet; CAMPOS SICCHA, Gerardo  and  RAMIREZ GUTIERREZ, Raulins. Clinical characteristics of patients treated for mammary tuberculosis in an Obstetrics and Gynecology service 2002-2011. Rev Per Ginecol obstet. [online]. 2013, vol.59, n.2, pp.107-114. ISSN 2304-5132.

Objectives: To determine clinical characteristics of breast tuberculosis in patients treated at an Obstetrics and Gynecology Service. Design: Observational, descriptive, retrospective study. Setting: Obstetrics and Gynecology Service, Hospital Nacional Docente Madre Niño San Bartolome, Lima, Peru. Participants: Patients with mammary tuberculosis. Interventions: Medical records of 40 patients who had clinical diagnosis of breast tuberculosis were reviewed. Main outcome measures: Breast tuberculosis clinical characteristics. Results: Twenty-nine cases of mammary tuberculosis were found, with 2.9% annual incidence. Most lived in Rimac, San Martin de Porres and Cercado de Lima. Average age was 32.8 ± 8.2 year-old with 2.3 ± 1.2 pregnancies average; 51.7% were overweight and 13.8% obese. Time of disease was two to four months in 70%; 72.4% presented breast tumor, 31% painful nodularity and 13.8% axillary lymphadenopathy; 10.7% were pregnant or lactating at diagnosis; 10.3% were associated to pulmonary tuberculosis, 7.1% to extrapulmonary tuberculosis, and 14.3% had contact with patients with tuberculosis; 68% received treatment for tuberculosis, and only 31% of patients underwent surgical intervention. Treatment response was good in 96.6% of cases. Conclusions: One of six patients attended for breast tuberculosis had associated pulmonary or extra-pulmonary tuberculosis. Procedures mostly used for diagnosis were biopsy, mammography, breast ultrasound, and chest radiography. It is important to consider the possibility of mammary tuberculosis in pregnant and lactating women.

Keywords : Breast tuberculosis; chronic mastitis; clinical features.

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