Case Report
 
A rare case of tuberculous breast in modern era with review of literature
Bhavinder Arora
Department of General Surgery, Pt B D Sharma University of Health Sciences, PGIMS, Rohtak

Article ID: 100940Z01BA2018
doi: 10.5348/100940Z01BA2018CR

Corresponding Author:
Prof (Dr.) Bhavinder Arora
Department of General Surgery
Pt B D Sharma University of Health Sciences, PGIMS, Rohtak-124001

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How to cite this article
Arora B. A rare case of tuberculous breast in modern era with review of literature. Int J Case Rep Images 2018;9:100940Z01BA2018.


ABSTRACT

Introduction: Tuberculous breast is an uncommon disease with non-specific findings on clinical assessment, radiological imaging and fine needle aspiration. The disease is underdiagnosed as breast lump present masquerading as breast carcinoma. The results for acid fast bacilli and culture are frequently negative.

Case Report: Thirty-five years woman presents with a lump, scar and scabs in the lower medial quadrant of left breast for last 6 months. Soon she noticed fresh weeping ulcer/ sinus discharging serous discharge. A soft lump was palpable which was nontender and non-fluctuant. After clinical assessment mammography and FNAC (fine needle aspiration cytology) was done. Sonomammography revealed a soft tissue mass in left breast having irregular margin and central necrotic area with debris. Radiological mammography revealed inflammatory mass with left axillary lymph nodes. MR mammogram and biopsy diagnosed tubercular pathology. The lesion was completely resolved with antitubercular therapy.

Conclusion: This case highlights the difficulty in making the diagnosis of lump breast by clinical assessment, radiological imaging and tissue diagnosis. The interpretation of these investigations may be equivocal. However, presence of any epithelioid granuloma, Langerhans giant cells, caseation necrosis or acid-fast bacilli can give fairly confirmatory diagnosis of tuberculous breast. Antitubercular therapy can completely resolve this lesion.

Keywords: Breast tuberculosis, Granulomatous mastitis, Primary, Tuberculosis breast, Tuberculous mastitis


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Author Contributions
Bhavinder Arora – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Bhavinder Arora et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.