You are here

Secondary Tuberculosis of bilateral breasts in a nulliparous female: A rare entity

Journal Name:

Publication Year:

Abstract (2. Language): 
Although tuberculosis involves any part of body, but tuberculosis of breast and spleen are rare as they offer resistance to the survival and multiplication of tuberculosis bacillus [1].Henceforth tuberculosis of breast is an uncommon with an incidence of 0.1- 5% (0.1% in developed countries and 0.3%-5% in endemic countries) in all patients with breast disease treated surgically [2]. Reported incidence of isolated tuberculosis of breast ranges 0.10% to 0.52%. Being rare, it mimics malignancy or breast abscess clinically as well as radio logically. Association of axillary lymph nodes are found in one-third cases of breast T.B [3,4], and involvement of breast can be primary or secondary to some focus in body. A case of 45 years of secondary tuberculosis of bilateral breast from remote area of Jammu India is being reported. Presentation at admission was painless discharging sinuses of both breasts. Affecting source of disease was miliary tuberculosis of both lungs. Antibiotics and DOTS were started with no recurrence in follow up.
FULL TEXT (PDF): 
1068-1072

REFERENCES

References: 

1. Banerjee SN, Ananthakrishnan N, Mehta RB, Parkash S. Tuberculous mastitis: a continuing problem. World J Surg.
1987;11:105-9.
2. Jalali U, Rasul S, Khan A, Baig N, Khan A, Akhter R. Tuberculous mastitis. J Coll Physicians Surg Pak.
2005;15:234-7
3. Shinde SR, Chandawarkar RY, Deshmukh SP. Tuberculosis of the breast masquerading as carcinoma: a study of
100 patients. World J Surg. 1995;19:379-81.
4. Madhusudhan KS, Gamanagatti S. Primary breast tuberculosis masquerading as carcinoma. Singapore Medical
Journal. 2008;49(1):e3–e5.
5. Tan SY, Berman E. Robert Koch (1843-1910): father of microbiology and Nobel laureate. Singapore Med J.
2008;49:854-5.
6. Hale JA, Peters GN, Cheek JH. Tuberculosis of the breast: rare but still extant. Am J Surg. 1985; 150: 620 – 624
7. Jaideep C, Kumar M, Khanna AK: Male breast tuberculosis. Postgrad Med J 1997, 73:428-4
8. Cooper A. Illustrations of the Diseases of the Breast, Part1 London, Longman, Rees, Orme, Brown and
Green.1829. p. 73
9. Puneet, Satyendra K, Tiwary, Ritu Ragini, Sanjay Singh, SK Gupta, et al. Breast Tuberculosis: Still
Common In India. The Internet Journal of Tropical Medicine. 2005,2:2
10. Kedar GP, Bophate SK, Kherdekar M. Tuberculosis of breast. Ind J Tub 1985;32:146
11. W1lson TS, Macgregor JW. The diagnosis and treatment of tuberculosis of the breast. Can Med Assoc J.
1963;89:1118-24
12. Sharma PK, Babel AL, Yadav SS. Tuberculosis of breast (study of 7 cases). J Postgrad Med. 1991;37:24-
6, 26A
Figure 5: Lymph node biopsy showing caseous
necrosis with gaint cells as shown by arrow
Indian Journal of Basic & Applied Medical Research; September 2013: Issue-8, Vol.-2, P. 1068-1072
1072
www.ijbamr.com
13.Khanna R, Prasanna GV, Gupta P, Kumar M, Khanna S, Khanna AK, et al. Mammary tuberculosis:
report on 52 cases. Postgrad Med J. 2002;78:422-4
14. Ozol D. Bacteriology or Pathology for tuberculous mastitis. Int Tuberc Lung Dis. 824.2006;10:824
15. Khanna R, Prasanna GV, Gupta P, Kumar M, Khanna S, Khanna AK et al. Mammary tuberculosis: report
on 52 cases. Postgrad Med J. 2002;78:422-4
16.Al-Marri MR, Aref E, Omar AJ. Mammography features of isolated tuberculous mastitis. Saudi Med J.
2005;26:646-50.

Thank you for copying data from http://www.arastirmax.com