Tubercular Mastitis in an Elderly Female: A Rare Entity

Introduction: Tuberculosis of the breast is a rare entity, especially in elderly females. Moreover, the disease is overlooked and misdiagnosed as malignancy or pyogenic abscess. Here we report a case of an elderly female who presented with a lump in her left breast which resembled malignancy. Fine needle aspiration cytology followed by histopathological examination confirmed the diagnosis of breast tuberculosis. Patient underwent excision of the lump followed by six months of anti tubercular therapy to which she responded well. Key words: breast; mastitis; tuberculosis

915 An Unusual Case of Breast Tuberculosis: A Case Report

Background Breast Tuberculosis (TB) is a rare form of extra-pulmonary tuberculosis. It can mimic the presentation of many breast diseases including malignancy. We present a case of breast tuberculosis that had negative cultures from breast tissue while positive on lymph node biopsy. Case presentation A 36-year-old Libyan British lady presented to the symptomatic breast clinic with a large left breast mass during the first trimester of her fifth pregnancy. She has received antibiotics to treat mastitis but with no improvement. On Examination she had large left upper quadrant mass with skin tethering as well as palpable left axillary lymph nodes. Ultrasound imaging suggested features suspicious for malignancy and hence core biopsies were obtained which showed chronic inflammatory changes only. Ziehl Neelson stain was negative at this stage. A week later she developed low grade fever as well as signs of infection at biopsy site, this was treated with flucloxacillin, pus aspirated from underlying mass and sent for culture and sensitivity. Unfortunately, this lady travelled to Tunisia after her review and was subsequently diagnosed with breast tuberculosis on cultures from lymph node biopsies. On her return to our clinic, she was on appropriate treatment for TB, she had good response to treatment and follow up ultrasound showed stable residual collection. Conclusions This case illustrates the challenges in the diagnosis of breast tuberculosis as it is a rare entity of a disease that remains less prevalent in European countries. In most cases full recovery can be expected with anti- tuberculous treatment.

Tubercular Mastitis Mimicking Carcinoma of Breast - A Case Report

Tuberculosis is quite prevalent in developing countries. It can affect any organ in the human body. Apart from pulmonary tuberculosis, it does not usually present with its constitutional symptoms in other organs. On many occasions, tuberculosis of organs other than pulmonary Koch’s is misdiagnosed. One such organ is breast. Tuberculosis of breast is a rare condition and its presentation as that of breast cancer heaps further misery. A case of tubercular mastitis diagnosed initially as metastatic breast cancer is presented here. Patient was managed conservatively.

A Case of Primary Tuberculosis Mastitis Revealed By a Chronical Skin Fistula

Breast tuberculosis is a rare form of extrapulmonary tuberculosis, even in endemic countries. Its frequency is low both in tuberculosis localization (0.06 to 0.1%) as well as in breast disease (0.025 to 4.5%)

BREAST TUBERCULOSIS SIMULATING MALIGNANT TUMOR: A CASE REPORT

Breast tuberculosisis an infection that affects youngwomen in theirgenitally active period. It isoftenprimary and creates issues in terms of diagnosis and treatment. Treatmentisactuallybased on antitubercularchemotherapy, ocassionallyassociated to surgery. The prognosisis favorable undertreatment. We have to mention that in case of breasttuberculosis, Histopathologicalexaminationremains the onlymean of diagnosis. Referring to the medicalliteraturewritten about the affection, wewillanalyzeitsparticularities.

Tuberculosis of breast: scrofulous swelling in the bosom of young women

Background: Tuberculous breast is a rare extra pulmonary presentation of tuberculosis with nonspecific clinical, radiological and histological findings. The significance of breast tuberculosis lies in its rare occurrence and mistaken identity with breast carcinoma and pyogenic abscess.Methods: A prospective observational study was done to know the incidence, presentation and management modality of tuberculosis of breast.Results: 8 female patients, ranging between 21- 50 years were included, painless lump in breast in 4 patients (50%) was the most common presentation followed by 2 (25%) multiple discharging sinus,1 (12.5%) patient presented as abscess and one had painful lump. Axillary lymphadenopathy seen in 3 (37.5%) patients. All patients had an FNAC but Core needle biopsy or excisional biopsy was definitive for diagnosis. Anti-tubercular chemotherapy was the mainstay of treatment.Conclusions: Breast tuberculosis is an obscure disease and clinical signs can be insidious and non-specific Diagnostic expertise can identify a potentially curable disease of breast tuberculosis.

Breast tuberculosis presenting with intractable mastitis: a case report

Background Breast tuberculosis, also known as tuberculous mastitis, is an extremely rare form of tuberculosis. It accounts for <0.1% of all breast diseases and <2% of all cases of tuberculosis. It is often misdiagnosed as breast cancer, which can potentially lead to a delayed diagnosis. Case presentation A 69-year-old Japanese woman presented with a tumor-mimicking lesion in her right breast, followed by intractable mastitis with a fistula formation. The time until the correct diagnosis of tuberculosis of the breast and sternal bone was 14 months. Conclusions Although rare, it is important to recognize that tuberculous mastitis can present as refractory abscesses/mastitis or mass lesions that mimic carcinomas in women of reproductive age and elderly people. Breast tuberculosis should always be considered in the differential diagnoses, particularly in patients with a history of tuberculosis and those living in areas where tuberculosis is endemic.