Tuberculosis of breast an experience of twenty four cases
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 5
Abstract
Tuberculosis of the breast is a rare form of extra pulmonary Tuberculosis. In our study conducted during the period 2003 to 2010 with 24 cases, we have observed the following things. Of 24 patients 8(33%) patients presented with painless breast lump, 12(50%) patients presented with lump associated with discharging sinus, making Breast lump as the most common presentation. Associated Axillary Lymphadenopathy was seen in 13(54%) patients. Fine Needle Aspiration Cytology (FNAC) showed Epithelioid granuloma with caseating necrosis in 20 (83.3%) patients. Ziehl Neelsen staining demonstrated presence of acid fast bacilli in 20 (83.3%) patients. The four cases where ZN staining of aspirated material was negative for AFB, Bactec culture showed positive growth of AFB. Evidence of Pulmonary Tuberculosis was seen in 20 (83%) patients, as was evident from Sputum microscopy for AFB and/or Chest X-ray. Mantoux test was positive in 24(100%) patients. 12(50%) patients were in age group of less than 20,only 1(4%) patient was over 30 years of age. Associated fever and night sweats were present in 8(33%) patients. Upper Outer Quadrant was involved in 14(58%) patients. All patients responded to first line Anti Tubercular drug therapy for a period of 6 months. Tuberculosis of the Breast though rare should be considered in differential diagnosis of Breast lump, particularly in developing countries where the prevalence of tuberculosis is very high.
Authors and Affiliations
Siddhartha Biswas, Sarbani Chattopadhyay, Bitoti Chattopadhyay, Sushil Ranjan Ghoshal, SD Chattopadhyay, Sridhar Murugesan, Soumyajit Ghosh
Keywords
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