No abstract

Objective: To present 2 cases of primary breast abscesses caused by Mycobacterium tuberculosis mimicking pyogenic abscesses in healthy young females. Clinical Presentation and Intervention: Two young non-lactating Indonesian and Indian women, aged 27 and 29 years old, respectively, presented with breast abscesses caused by M.tuberculosis. The breasts presented as huge, swollen, hot, tender masses with a discharge at the subareolar site. Surgical drainage revealed deep abscess with copious amount of pus, samples of which were positive for acid-fast bacilli (AFB) and later confirmed as M.tuberculosis by positive cultures in Becton Dickinson BBL Migit and BACTEC 12B media. The initial therapies with clindamycin were changed to 4 anti-tuberculous drugs as soon as the smears showed the presence of AFB. The patients were discharged a week later, but both were lost to follow-up. Conclusion: Mammary tuberculosis should be considered in the differential diagnosis of breast lesion, especially in patients from endemic areas.

Implantation of tumor cells after FNAC for HCC is rare, but can happen. The availability of dynamic imaging of the liver should reduce the need for this technique in the diagnostic workup of patients suspected of having HCC.