DOI: http://dx.doi.org/10.18203/2349-2902.isj20191285

Primary tuberculosis of the breast: a diagnostic dilemma

Rafat Khan, Kailash Charokar

Abstract


Primary tuberculosis of the breast is a rare disease, despite the high prevalence of pulmonary and extra-pulmonary tuberculosis in disease endemic countries. The diagnosis of primary breast tuberculosis is challenging due to it’s non-specific clinical and imaging findings. Lesions of tuberculosis such as nodular mastitis, disseminated mastitis, and sclerosing lesions clinically mimic fibroadenoma, carcinoma, and fibrocystic changes, depending on the mode of presentation. We report a case of primary tuberculosis of breast, she presented with breast lump. The diagnosis was confirmed on histopathology after wide excision of the lump. The patient recovered uneventfully and was discharged on antitubercular therapy for 9 months with follow-up protocol. The primary tuberculosis of the breast presents with a diagnostic dilemma for the surgeons. A high index of suspicion for tuberculosis is needed in diseases endemic countries, especially in the Indian subcontinent.


Keywords


Breast lump, Inflammatory granuloma, Nodular tuberculosis

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References


Sriram K, Moffatt D, Stapledon R. Tuberculosis infection of the breast mistaken for granulomatous mastitis: a case report. Cases J. 2008;1(1):273.

Singal R, Dalal AK, Dalal U, Attri AK. Primary tuberculosis of the breast presented as multiple discharge sinuses. Indian J Surg. 2012;75(1):66-7.

Cooper: Illustrations of the Diseases of the Breast. Part I. London: Longman, Rees, Orme, Brown, and Green; 1829: 73.

Akcakaya A, Eryilmaz R, Sahin M, Ozkan OV. Tuberculosis of the breast. Breast J. 2005;11:85-6.

Thimmappa D, Mallikarjuna MN, Vijayakumar A. Breast Tuberculosis. Indian J Surg. 2015;77(3):1378-84.

Marinopoulos S, Lourantou D, Gatzionis T, Dimitrakakis C, Papaspyrou I, Antsaklis A. Breast tuberculosis: Diagnosis, management and treatment. Int J Surg Case Rep. 2012;3(11):548-50.

Gupta R, Singal RP, Gupta A, Singal S, Shahi SR, Singal R. Primary tubercular abscess of the breast--an unusual entity. J Med Life. 2012;5(1):98-100.

Luh SP, Chang KJ, Cheng JH, Hsu JD, Huang CS. Surgical Treatment for Primary Mammary Tuberculosis—Report of Three Octogenarian Cases and Review of Literature. Breast J. 2008;14(3):311–2.

Azarkar Z, Zardast M, Ghanbarzadeh N. Tuberculosis of the Breast: A Case Report. Acta Medica Iranica. 2011;49(2):124-6.

Basu A, Khan D, De U, Gupta AK, Parui U, Basak B. A rare and interesting case of primary mammary tuberculosis mimicking breast carcinoma: A Case Report. Hellenic J Surg. 2013;85:337-41.