Tuberculosis of the Breast

Abstract

PATIENT 1 (SECONDARY FORM)A 69-year-old woman with a painful fixed lump growing rapidly in the upper outer quadrant of her left breast presented to our hospital for investigation. She reported that when she was 22 years old she developed pulmonary tuberculosis manifested primarily as pleural effusion.Fine-needle aspiration cytology was consistent with granulomatous suppurative lesion. The culture grew Mycobacterium tuberculosis . PATIENT 2 (PRIMARY FORM)A 38-year-old woman presented to our hospital because she noticed an increase in size of her right breast over the past few months. Clinical symptoms such as peau d'orange appearance and nipple retraction of the right breast were also present. In addition, she had enlarged, hard axillary and supraclavicular lymph nodes.Histologic examination of the lesion showed inflammatory infiltration by lymphocytes and plasmacytes. The culture grew M. tuberculosis .

Mammary tuberculosis mimicking breast cancer: a case report

“…The incidence of tuberculosis is sharply rising in developing and developed countries and rare extrapulmonary manifestations of the past can pose challenges in clinical practice. This may be due in part to the increasing number of geriatric patients, especially those with immunosuppression, as well as due to the development of drug resistant strains of Mycobacterium tuberculosis [ 1 , 2 ].…”

Apendicitis Crónica Como Causa Del Dolor Crónico en Fosa Iliaca Derecha

“…La fisiopatología de dicha entidad se basa en la obstrucción parcial y/o recurrente del lumen apendicular por fecalitos, hiperplasia linfoide, tumores o cuerpos extraños [26]. La secreción acumula con dilatación progresiva del apéndice, hasta que la presión intraluminal sobrepasa la presión de obstrucción, resultando en la liberación del contenido apendicular, con el subsecuente alivio completo o parcial de los síntomas [27,28].…”

“…Empero posteriormente, la realización de apendicectomías en pacientes con dolor abdominal crónico sin encontrar hallazgos patológicos del apéndice y sin alivio de los síntomas, hizo que en el año 1928, el concepto de apendicitis crónica fuera abandonado [30]. De esta forma en algunos La fisiopatología de dicha entidad se basa en la obstrucción parcial y/o recurrente del lumen apendicular por fecalitos, hiperplasia linfoide, tumores o cuerpos extraños [26]. La secreción luminal se acumula con dilatación progresiva del apéndice, hasta que la presión intraluminal sobrepasa la presión de obstrucción, resultando en la liberación del contenido apendicular, con el subsecuente alivio completo o La controversia sobre la existencia o no de la apendicitis crónica se remonta en la historia de la cirugía al año 1855, cuando Symmonds realiza la primera apendicectomía por dolor abdominal crónico en fosa ilíaca derecha [29].…”

Tuberculosis of the Breast

“…There has been considerable increase in the prevalence of tuberculosis (TB) as well as an increase in its extrapulmonary manifestations worldwide. This may be due to the increasing number of people with suppression of the immune system, aging, and the development of drug‐resistant strains of Mycobacterium tuberculosis (1,2). TB of the breast is an extremely rare disease.…”

“…In the literature 95.5% of cases occur in women and only 4.5% occur in men. Its incidence in Western countries is less than 0.1%, whereas in developing countries, where TB is endemic (1–3), the incidence is 0.25–4.5%.…”