Various presentations of breast tuberculosis and tuberculous lymphadenopathy: A case series of surgical rarity

Abstract Background and aim Breast tuberculosis is a rare disease, even in endemic areas. The diagnosis can be challenging, as it can mimic breast cancer. We aim to report our experience and discuss diagnoses and management modalities. Results We encountered twelve cases of breast tuberculosis in our institution from 2004 to 2019. The average age of our Caucasian North African patients was 42 years old (22–63). The classic presentation was a breast lump found in half of the cases. On physical examination, we suspected breast carcinoma in seven patients. The average size of the tumors was 39 mm (15–80 mm). Nine patients had a mammogram. In five cases, there was a suspicious breast mass mimicking a malignant tumor with an average size of 33 mm (25–60 mm). A ultrasonography was performed in 6 cases and revealed a suspicious ill-circumscribed nodule in four patients with an average size of 37.5 mm (10–60 mm). Five patients had a lumpectomy, and seven women underwent drainage of the abscess and the biopsy of its hull. The association of epithelioid cell granulomas and caseous necrosis was mandatory for the histological diagnosis of tuberculosis. All of them had an antitubercular therapy. The median period of follow-up was of 43 months (3–156 months). One patient presented with a recurrent abscess of the breast. Conclusion Our study found that clinical examination and radiological imaging were not specific. Positive cultures for Koch bacillus or histological confirmation are mandatory for the diagnosis. A meta-analysis of the existing cases is needed.

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A multi-centre case series investigating the aetiology of hypertrophic pachymeningitis with orbital inflammation

Yearbook of Ophthalmology ◽

10.1016/j.yoph.2012.05.025 ◽

2012 ◽

Vol 2012 ◽

pp. 219-220

Author(s):

K. Talekar ◽

A. Flanders

Keyword(s):

Case Series ◽

Hypertrophic Pachymeningitis ◽

Orbital Inflammation

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Abstract #726: Primary Hyperparathyroidism and the Relationship Between 25-Vitamin D, 1,25 Vitamin D and Parathyroid Hormone: A Prospective Case Series

Endocrine Practice ◽

10.1016/s1530-891x(20)42709-0 ◽

2015 ◽

Vol 21 ◽

pp. 137-138

Author(s):

Thomas Hadwen ◽

Melissa Clarke ◽

Ashim Sinha

Keyword(s):

Vitamin D ◽

Parathyroid Hormone ◽

Primary Hyperparathyroidism ◽

Case Series ◽

Prospective Case Series ◽

The Relationship

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Abstract #856 A Case Series Review of Clinical and Biochemical Characteristics of Pituitary Abcess in Mexican Patients

Endocrine Practice ◽

10.1016/s1530-891x(20)47342-2 ◽

2018 ◽

Vol 24 ◽

pp. 202-203

Author(s):

Mireya Perez-Guzman ◽

Alfredo Nava de la Vega ◽

Arturo Pena Velarde ◽

Tania Raisha Torres Victoria ◽

Froylan Martinez-Sanchez ◽

...

Keyword(s):

Case Series ◽

Biochemical Characteristics ◽

Mexican Patients

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Abstract #316: Latent Auto-Immune Diabetes in Adults (LADA): Is it More Prevalent Than We Think? A Case Series

Endocrine Practice ◽

10.1016/s1530-891x(20)45024-4 ◽

2016 ◽

Vol 22 ◽

pp. 95

Author(s):

Chandni Merchant ◽

Smita Kargutkar

Keyword(s):

Case Series

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Cannabis-associated arteritis

VASA ◽

10.1024/0301-1526/a000004 ◽

2010 ◽

Vol 39 (1) ◽

pp. 43-53 ◽

Cited By ~ 17

Author(s):

Grotenhermen

Keyword(s):

Systematic Review ◽

Case Reports ◽

Case Series ◽

Cardiovascular Effects ◽

Causative Factor ◽

Cannabis Use ◽

Thromboangiitis Obliterans ◽

Pathological Features ◽

Scientific Support ◽

Clinical And Pathological Features

Background: To investigate the hypothesis that cases of arteritis similar to thromboangiitis obliterans (TAO) and associated with the use of cannabis were caused by cannabis or THC (dronabinol), or that cannabis use is a co-factor of TAO. Patients and methods: A systematic review on case reports and the literature on so-called cannabis arteritis, TAO, and cardiovascular effects of cannabinoids was conducted. Results: Fifteen reports with 57 cases of an arteritis associated with the use of cannabis and two additional case series of TAO, in which some patients also used cannabis, were identified. Clinical and pathological features of cannabis-associated arteritis do not differ from TAO and the major risk factor of TAO, tobacco use, was present in most, if not in all of these cases. The proposed pathophysiological mechanisms for the development of an arteritis by cannabis use are not substantiated. Conclusions: The hypothesis of cannabis being a causative factor or co-factor of TAO or an arteritis similar to TAO is not supported by the available evidence. The use of the term cannabis arteritis should be avoided until or unless more convincing scientific support is forthcoming.

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