Tuberculosis of breast: unusual manifestation of tuberculosis

Yanamandra, Uday; Pathak, Nishant; Naithani, Nardeep; Grover, Naveen; Nair, Velu

doi:10.1007/s10156-011-0296-0

Cited by 8 publications

(13 citation statements)

References 11 publications

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“…Although breast tuberculosis can be seen in both breasts simultaneously, it is very rare. The incidence rates in the right or left breast are not superior to each other (23)(24)(25). In our study, we did not detect simultaneous cases in both breasts, and there was no significant difference between the right and left breasts in terms of the presence of tuberculosis.…”

Section: Discussioncontrasting

confidence: 64%

Breast tuberculosis: analysis of 24 patients

Tuna¹,

Coşkun²

2022

Journal of Health Sciences and Medicine

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Introduction: Breast tuberculosis is a disease that is difficult to diagnose with its clinical appearance and can be confused with breast abscesses and breast carcinomas. In this study, we aimed to analyze 24 patients diagnosed with breast tuberculosis, followed up and treated. Material and Method: Among 4489 patients examined in the breast diseases outpatient clinic between January 2012 and December 2020, patients diagnosed with breast tuberculosis were evaluated retrospectively. Demographic, clinical features, radiological findings, histopathological and microbiological findings of the patients were recorded. Diagnosis, treatment protocols and treatment outcomes were evaluated. Results: A total of 24 breast tuberculosis cases were analyzed in the study. The mean age was 41.6 (28-64 years) and all patients were diagnosed for the first time. There was a history of oral contraceptive use in 10 patients. Among patients, 19 of them were in the reproductive age, and five patients were in the postmenopausal period. Four patients were in lactating period. On physical examination, breast mass was detected in 16 (67%) patients, abscess was present in 5 patients (20.8%), and sinus and discharge were evident in three patients (12.5%). Breast ultrasonography revealed a breast mass in 16 patients (67%), abscess in eight patients (33%), and axillary lymphadenopathy in six patients (25%). The diagnosis was made by core biopsy in 10 (41.6%) patients, fine-needle aspiration biopsy in three patients (12.5%), and incisional biopsy in 11 patients (45.8%). All patients were given quadruple antituberculosis therapy in the first 2 months for 9 months, and double antituberculosis therapy for 7 months. In addition to antituberculosis treatment, mass excision was performed in three patients (12.5%), segmental mastectomy in one patient (4.1%), simple mastectomy in one patient (4.1%), and abscess drainage were completed in eight patients (33.3%). Cure was achieved in all patients after treatment. Conclusion: Breast tuberculosis is a rare disease that can be difficult to diagnose unless the disease itself is suspected. As the diagnosis of the disease is delayed, the disease becomes complicated and the need for surgical treatment increases as well as medical treatment. Although there are different opinions about the duration of the treatment, in our study, cure was achieved with 9 months of treatment and no recurrence was observed in the 1-year follow-up. Since 10 patients had a history of oral contraceptive use, further research is needed to understand whether oral contraceptive use is a predisposing factor in the development of breast tuberculosis.

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Section: Discussioncontrasting

confidence: 64%

Breast tuberculosis: analysis of 24 patients

Tuna¹,

Coşkun²

2022

Journal of Health Sciences and Medicine

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“…12 Breast TB remains a very rare disease, representing 0.2% of extrapulmonary TB cases. [11][12][13][14] We reported the first case of breast TB observed in many years of gyanecology pratice to aim the diagnosis and management difficulties in a less and mid developped country. The average reported prevalence was 1.7%, ranging from 0.2% 20 to 6.8%.…”

Section: Discussionmentioning

confidence: 99%

Breast location of tuberculosis: a case report and literature review

Mian

Loue

Angoi

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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“…La necrosis caseosa es un criterio tan importante; Veyssière propuso que el diagnóstico de TB de mama sólo debe reconocerse en presencia de este tipo de necrosis o cuando se logra aislar el bacilo tuberculoso (12). Series y reportes de casos que consideraron el diagnóstico anatomo-patológico definitivo de TB de mama solo ante la presencia de necrosis caseosa o con confirmación bacteriológica presentaron tasas de éxito por encima del 95% con tratamiento antituberculoso (4,5,12,19,35,36), mientras que las series, en las cuales el diagnóstico se estableció aun en ausencia de necrosis caseosa, las pacientes requirieron tratamiento quirúrgico concomitante en 50 a 100% de los casos y extensión del tiempo de tratamiento médico en 20 a 30% por resolución lenta del cuadro clínico (10,(13)(14)(15)37).…”

Section: Discussionunclassified

Características clínicas y anatomo-patológicas de las pacientes que ingresaron al Programa de Control de Tuberculosis con diagnóstico de tuberculosis de mama

Tafur¹,

Cáceres²,

Accinelli³

2014

Rev Med Hered

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Objetivo: Describir las características clínicas y anatomo-patológicas de pacientes que ingresaron con diagnóstico de TB de mama al Programa de control de Tuberculosis (PCT) de un hospital general. Material y métodos: Se incluyeron los casos registrados en el PCT como TB de mama en cuyo informe anatomo-patológico figuraba inflamación crónica granulomatosa. Se revisaron las historias clínicas y revaluaron las biopsias de mama. Resultados: Se incluyeron 69 mujeres con edad promedio 35,79 ± 7,94 años. Las manifestaciones más frecuentes fueron presencia de nódulo (89,86%), dolor (89,86%) y signos inflamatorios (40,58%). La revaluación de la biopsia mostró granulomas de tipo supurado, con células gigantes multinucleadas tipo Langhans y cuerpo extraño, sin necrosis caseosa, localizados a nivel de la unidad ducto lobular (UDL) y extra-UDL en 85,51 % de los casos. Solo en 3 casos se observó bacilos ácido alcohol resistente en la secreción o tejido de mama. Todos los casos recibieron tratamiento antituberculoso. Treinta y ocho casos tuvieron seguimiento, de ellos 73,68% presentó persistencia o recurrencia al menos un mes después del inicio de tratamiento antituberculoso. Conclusiones: Todos los casos del estudio fueron mujeres, la mayoría presentaron nódulo, dolor o signos de inflamación en mama, sin síntomas o signos sistémicos y con presencia de granulomas supurados, sin necrosis caseosa. A pesar de recibir tratamiento antituberculoso en todos los casos, cerca del 75% con seguimiento de al menos un mes presentaron persistencia o recurrencia clínica.

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Tuberculosis of breast: unusual manifestation of tuberculosis

Cited by 8 publications

References 11 publications

Breast tuberculosis: analysis of 24 patients

Breast tuberculosis: analysis of 24 patients

Breast location of tuberculosis: a case report and literature review

Características clínicas y anatomo-patológicas de las pacientes que ingresaron al Programa de Control de Tuberculosis con diagnóstico de tuberculosis de mama

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