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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897
Volume 1, Issue 9, Sept 2014 pp 517-519
Case Report
Primary Breast Tuberculosis mimicking malignancy
Syed Obaid1, Abhishek jadhav2
1,2Assistant Professor, Department of General Surgery, JIIU’s IIMSR Medical College, Warudi, Jalna, Maharashtra, INDIA.
Abstract
Breast tuberculosis is an uncommon form of entity, usually presenting as abscess or lump rarely it presents at hard lump mimicking malignancy. A 40‑ year old female, presented with a lump in the right breast in sub areolar region. Clinically lump was hard, more in favour of malignancy. There was no axillary lymphadenopathy. She was having off and on fever without any other complaints. There was no history of tuberculosis in past. There was no history of koch’s contact. Routine investigations were normal. X-ray chest was normal. Mammography was s/o BIRAD IV lesion i.e suspicious pathology. Primary breast tuberculosis was diagnosed on trucut biopsy. The patient received antitubercular drugs and at 1 month follow up the swelling had decrease in size but not resolved hence excisional biopsy done. Histopathological examination suggestive of breast tuberculosis. Breast tuberculosis is a rare disease with non‑specific clinical, radiological, and histological findings. Misdiagnosis is common as biopsy specimens are pauci‑bacillary and investigations such as microscopy and culture are frequently negative. Tuberculosis should be included in the differential diagnosis of breast lesions, like breast carcinoma, persistent breast abscess and infectious patterns with fistulizations, especially for patients from high risk populations and endemic regions.
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