Tuberculosis of breast: a rare case report

Authors

  • Shubhi Bhatnagar Department of Surgery, Dr. D. Y. Patil Medical College and Research Centre, Pune, Maharashtra-411018, India
  • Shahaji Chavan Department of Surgery, Dr. D. Y. Patil Medical College and Research Centre, Pune, Maharashtra-411018, India
  • Mayank Chakraborty Department of Surgery, Dr. D. Y. Patil Medical College and Research Centre, Pune, Maharashtra-411018, India
  • Rahul Banik Department of Surgery, Dr. D. Y. Patil Medical College and Research Centre, Pune, Maharashtra-411018, India
  • Sree Ganesh Balasubramanian Department of Surgery, Dr. D. Y. Patil Medical College and Research Centre, Pune, Maharashtra-411018, India
  • Nithin Saladi Department of Surgery, Dr. D. Y. Patil Medical College and Research Centre, Pune, Maharashtra-411018, India
  • Shrrey Akhil Saxena Department of Surgery, Dr. D. Y. Patil Medical College and Research Centre, Pune, Maharashtra-411018, India
  • Omkar Shirke Department of Surgery, Dr. D. Y. Patil Medical College and Research Centre, Pune, Maharashtra-411018, India

DOI:

https://doi.org/10.18203/2349-2902.isj20175420

Keywords:

Abscess, Extrapulmonary tuberculosis, Tuberculosis breast

Abstract

Tuberculosis of the breast is an extremely rare extra pulmonary presentation of tuberculosis accounting for less than 1% of all diseases of the breast. It usually affects young lactating multiparous women, although it may also be reported in prepubescent males, or in elderly women. This rare condition can pose diagnostic difficulties and can mimic carcinoma breast or abscess. We report a case of a 42-year-old female patient with breast tuberculosis. We have reviewed this case in terms of clinical presentation, investigations, surgical treatment and antituberculous therapy and have shortly described our experience. Ultrasonography of breast, mammography and magnetic resonance imaging of breast supported the diagnosis of tuberculosis of breast. Wide local excision of the breast lump was done, and the excised specimen was sent for histopathological examination which confirmed the diagnosis of tuberculosis of breast. Antituberculous therapy was started post operatively. Post-operative period was uneventful. No active breast or pulmonary disease was present one year after surgery in chest computerized tomography scan. Possibility of this condition should be kept in mind in cases of breast carcinoma or abscess. Diagnosis is made by assessing a combination of clinical, radiological and pathological features. Treatment is mainly antituberculous therapy. Surgery is rarely required. A regular follow up is recommended to rule out recurrence of tuberculosis.

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Published

2017-11-25

How to Cite

Bhatnagar, S., Chavan, S., Chakraborty, M., Banik, R., Balasubramanian, S. G., Saladi, N., Saxena, S. A., & Shirke, O. (2017). Tuberculosis of breast: a rare case report. International Surgery Journal, 4(12), 4099–4101. https://doi.org/10.18203/2349-2902.isj20175420

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Section

Case Reports