Primary Actinomycosis of the Breast Presenting as a Breast Mass

Salmasi, Amirahmad; Asgari, Mehdi; Khodadadi, Nasrin; Rezaee, Alireza

doi:10.1159/000301599

Cited by 20 publications

(24 citation statements)

References 9 publications

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“…[36] The use of cell block studies in breast abscesses presenting as mass lesion is highlighted. Distinguishing breast actinomycosis from tuberculosis and other potential infectious conditions is possible through pathological examination.…”

Section: Discussionmentioning

confidence: 99%

Primary breast actinomyces simulating malignancy: A case diagnosed by fine-needle aspiration cytology

Thambi

Devi

Sheeja

et al. 2012

J Cytol

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We report a case of primary actinomycosis of breast diagnosed by fine needle aspiration cytology (FNAC) in a postmenopausal lady who presented with a clinical impression of malignancy. Resolution of infection while conserving the breast was achieved by timely diagnosis and effective antibiotic therapy. The literature reports that primary actinomycosis of the breast is very rare after menopause, with only very few cases found after extensive search. It is imperative that this condition should be considered in the differential diagnosis of malignancy. The effectiveness of cell block sections in the final diagnosis is also highlighted.

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Section: Discussionmentioning

confidence: 99%

Primary breast actinomyces simulating malignancy: A case diagnosed by fine-needle aspiration cytology

Thambi

Devi

Sheeja

et al. 2012

J Cytol

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“…Lastly, any patient presenting with a breast mass that is associated with a draining sinus tract needs to be differentiated from actinomycosis by the absence of sulphur granules in the discharge and by fungal culture [33].…”

Section: Figure 7 the Histopathological Examination Of The Specimen mentioning

confidence: 99%

Granulomatous Mastitis: A Ten-Year Experience at a University Hospital

et al. 2015

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Objective: In this study we aimed to define clinical, radiologic and pathological specialties of patients who applied to General Surgery Department of Atatürk University Medical Faculty with granulomatous mastitis and show medical and surgical treatment results. With the help of this study we will be able to make our own clinical algorithm for diagnosis and treatment. Materials and Methods:We searched retrospectively addresses, phone numbers and clinical files of 93 patients whom diagnosed granulomatous mastitis between a decade of January 2001 -December 2010. We noted demographic specialties, ages, gender, medical family history, main complaints, physical findings, radiological and laboratory findings, medical treatments, postoperative complications and surgical procedures if they were operated; morbidity, recurrence and success ratios, complications after treatment for patients discussed above. Results:In this study we evaluated 93 patients, 91 females and 2 males, with granulomatous mastitis retrospectively who applied to General Surgery Department of Atatürk University Medical Faculty between January 2001 and December 2010. Mean age was 34.4 years. The diagnosis was confirmed by histopathologic examination of the lesions. Seventy three patients had idiopathic granulomatous lobular mastitis and 20 patients had specific granulomatous mastitis IGM (18 tuberculosis mastitis, 1 alveolar echinococcosis and 1 silk reaction). All the patients had surgical debridement or antibiotic, and anti-inflammatory treatment with results bad clinical response before applied our clinic. Conclusion:Empiric antibiotic therapy and drainage of the breast lesions are not enough for complete remission of idiopathic granulomatous mastitis. The lesion must be excised completely. In selected patients, corticosteroid therapy can be useful. In the patients with tuberculous mastitis, abscess drainage and antituberculous therapy can be useful, but wide excision must be chosen for the patients with recurrent disease. Keywords: Mastitis, granulomatous mastitis, tuberculosis mastitis ÖzetAmaç: Atatürk Üniversitesi Tıp Fakültesi genel cerrahi kliniğine baş-vuran ve granülomatöz mastit tanısı alan hastaların klinik, patolojik ve radyolojik özelliklerini belirlemek ve bu hastaların medikal ve cerrahi tedavi sonuçlarını bildirmektir. Bu sayede tanı yöntemleri ve tedavi algoritması üzerinde kliniğimiz deneyimine göre hareket etmek mümkün olacaktır. Gereç ve Yöntem:Ocak 2001 -Aralık 2010 arasındaki 10 yıllık dönem-de histopatolojik olarak granülomatöz mastit tanısı alan 93 olgunun hastane dosyalarına, adres ve telefon kayıtlarına ulaşıldı, dosyaları retrospektif olarak incelendi. Olguların demografik özellikleri yaşları, cinsiyeti, aile hikayesi, şikayetleri, fizik muayene bulguları, radyolojik ve laboratuvar bulguları, medikal tedavisi, ameliyat edilmiş ise ameliyatın şekli, ameliyat sonrası komplikasyonlar, tedavi sonrası morbidite ve nüks oranları not edildi, başarı oranları ve komplikasyonları çıkarıldı.Bulgular: Çalışma yaşları 20 ile 73...

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“…Cytology for malignant cells was negative. To confirm the diagnosis and exclude any possibility of malignancy, the lump Usually presenting as recurrent abscesses with or without fistulas, the presentation of actinomycosis as a breast mass is unusual, rare, and difficult to differentiate from inflammatory carcinoma [2]. The pivotal role of FNAC in the diagnosis of actinomycosis presenting as a painful breast lump can not be emphasized enough.…”

Section: Actinomycosis · Malignancy · Breast · Cytologymentioning

confidence: 99%

“…First described by Ammentrop in 1893, primary actinomycosis of the breast is very rare and most commonly caused by A. israelii which normally inhabits the mouth, colon, and vagina [2,3]. Primary forms directly affect the breast but the etiology is unknown; possible causes include infection of the lactiferous ducts due to trauma during breast feeding or kissing.…”

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confidence: 99%