TUBERCULOSIS OF THE BREAST- A SURGICAL PERSPECTIVE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 24
Abstract
BACKGROUND Tuberculosis of the breast is a rare entity. Incidence of breast tuberculosis in Western World is < 0.1% of the breast lesions examined histopathologically. The overall incidence in developing countries is approximately 3% of all the surgically treated breast diseases. The diagnosis of tuberculosis of breast requires a variety of microbiological, histopathological and radiographic investigations. Tuberculosis of breast is treated primarily with anti-tubercular drugs along with surgical intervention in some of the patients. Aims and Objectives- To evaluate the clinical spectrum of tuberculosis of breast. To evaluate the role of various diagnostic modalities and outcome of treatment in tuberculosis of breast. MATERIALS AND METHODS A retrospective descriptive study of clinical records of 1208 patients was done, out of which 30 patients managed for breast tuberculosis over a period of five years, i.e. January 2013 to December 2017 in the Department of General Surgery, Government Medical College, Jammu formed the study group. The patients suspected of having breast tuberculosis were diagnosed on the basis of clinical features and various diagnostic modalities/ investigations like mammography, ultrasonography of breast, FNAC, histopathological examinations, ZN staining for AFB and mycobacterial culture apart from routine investigations. All patients were treated successfully with antitubercular therapy and surgery [if required]. RESULTS All the patients having been diagnosed with tuberculosis of breast were treated with ATT alone or ATT along with surgical intervention. The outcome of the treatment in all the cases was satisfactory. CONCLUSION Tuberculosis of breast is a disease of clinical suspicion. A variety of diagnostic modalities are needed to establish the diagnosis. ATT is the mainstay of treatment with surgical intervention needed in some cases
Authors and Affiliations
Sanjay Sharma, Ratnakar Sharma, Akashdeep Singh
Keywords
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- EP ID EP450551
- DOI 10.14260/jemds/2018/645
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