E-ISSN 2146-8133
 

Original Research (Original Article) 


Primary mammary tuberculosis: Clinical diagnostic dilemma

Sunder Goyal, Anjali Solanki, Shveta Narang, Kartikeya Kashyap.

Abstract
Background: Primary mammary tubercular swelling poses a clinical diagnostic dilemma owing to its atypical clinical pic- ture which may mimic breast malignancy or breast abscess. In all the three condition axillary lymph nodes are involved no doubt their consistency is variable. Keeping this in mind this study was carried out.
Material and Methods: In our study, we report five patients with mammary tuberculosis who presented with painless mass during one year period. One patient was having involvement of ipsilateral axillary lymph nodes. Clinical diagnosis was confusing as all patients were in late twenties or late thirties. Fine-needle aspiration cytology proved the diagnosis.
Results: Mainstay of treatment was Antitubercular drug therapy. In all the five patients lump resolved completely. None of our patient required surgical intervention.
Conclusion: Breast Tuberculous is uncommon in countries where incidence of pulmonary and extrapulmonary tuberculosis is very high. It continues to pose a diagnostic challenge due to its rarity, atypical clinical features and non confirmatory radiological modalities. Unnecessary mastectomy can be avoided if we keep this rare but medically treatable condition on back of our mind.

Key words: Anti-tubercular therapy, breast tuberculosis, caseating granuloma, malignancy


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Export to
Export to
Related Records
 Articles by Sunder Goyal
Articles by Anjali Solanki
Articles by Shveta Narang
Articles by Kartikeya Kashyap
on Google
on Google Scholar
Article Statistics
 Viewed: 1196
Downloaded: 386
Cited: 0

REFERENCES
1. Sen M, Gorpelioglu C, Bozer M. Isolated primary breast tuberculosis: Report of three cases and review of the literature. Clinics (Sao Paulo) 2009;64:607-10. [DOI via Crossref]    [PMC Free Fulltext]   
2. Tewari M, Shukla HS. Breast tuberculosis: Diagnosis, clinical features & management. Indian J Med Res 2005;122:103-10. [Pubmed]   
3. Prathima S, Kalyani R, Parimala S. Primary tubercular mastitis masquerading as malignancy. J Nat Sci Biol Med 2014;5:184-6. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
4. Madhusudhan KS, Gamanagatti S. Primary breast tuberculosis masquerading as carcinoma. Singapore Med J 2008;49:e3-5. [Pubmed]   
5. Khandelwal R, Jain I. Breast tuberculosis mimicking a malignancy: A rare case report with review of literature. Breast Dis 2013;34:53-5. [Pubmed]   
6. Pal KD. Tuberculosis of breast- A retrospective review of cases. Indian J Tuberc 1998;45:35-7.
7. Gulpinar K, Ozis S, Ozdemir S, Korkmaz A. Primary Breast Tuberculosis: Report of a Case. Surgical Science 2013;4,68-71. [DOI via Crossref]   
8. Baharoon S. Tuberculosis of the breast. Ann Thorac Med 2008;3:110-4. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
9. Khanna R, Prasanna GV, Gupta P, Kumar M, Khanna S, Khanna AK. Mammary tuberculosis: Report on 52 cases. Postgrad Med J 2002;78:422-4. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
10. Harris SH, Khan MA, Khan R, Haque F, Syed A, Ansari MM. Mammary tuberculosis: Analysis of thirty-eight patients. ANZ J Surg 2006;76:234-7. [DOI via Crossref]    [Pubmed]   
11. Kalaç N, Ozkan B, Bayiz H, Dursun AB, Demirað F. Breast tuberculosis. Breast 2002;11:346-9. [DOI via Crossref]    [Pubmed]   
12. Morsad F, Ghazli M, Boumzgou K, Abbassi H, El Kerroumi M, Matar N, et al. Mammary tuberculosis: A series of 14 cases. J Gynecol Obstet Biol Reprod (Paris) 2001;30:331-7.

How to Cite this Article
Pubmed Style

Goyal S, Solanki A, Narang S, Kashyap K. Primary mammary tuberculosis: Clinical diagnostic dilemma. Arch Clin Exp Surg. 2015; 4(3): 153-156. doi:10.5455/aces.20140813125045


Web Style

Goyal S, Solanki A, Narang S, Kashyap K. Primary mammary tuberculosis: Clinical diagnostic dilemma. http://www.ejmaces.com/?mno=164826 [Access: May 27, 2018]. doi:10.5455/aces.20140813125045


AMA (American Medical Association) Style

Goyal S, Solanki A, Narang S, Kashyap K. Primary mammary tuberculosis: Clinical diagnostic dilemma. Arch Clin Exp Surg. 2015; 4(3): 153-156. doi:10.5455/aces.20140813125045



Vancouver/ICMJE Style

Goyal S, Solanki A, Narang S, Kashyap K. Primary mammary tuberculosis: Clinical diagnostic dilemma. Arch Clin Exp Surg. (2015), [cited May 27, 2018]; 4(3): 153-156. doi:10.5455/aces.20140813125045



Harvard Style

Goyal, S., Solanki, A., Narang, S. & Kashyap, K. (2015) Primary mammary tuberculosis: Clinical diagnostic dilemma. Arch Clin Exp Surg, 4 (3), 153-156. doi:10.5455/aces.20140813125045



Turabian Style

Goyal, Sunder, Anjali Solanki, Shveta Narang, and Kartikeya Kashyap. 2015. Primary mammary tuberculosis: Clinical diagnostic dilemma. Archives of Clinical and Experimental Surgery (ACES), 4 (3), 153-156. doi:10.5455/aces.20140813125045



Chicago Style

Goyal, Sunder, Anjali Solanki, Shveta Narang, and Kartikeya Kashyap. "Primary mammary tuberculosis: Clinical diagnostic dilemma." Archives of Clinical and Experimental Surgery (ACES) 4 (2015), 153-156. doi:10.5455/aces.20140813125045



MLA (The Modern Language Association) Style

Goyal, Sunder, Anjali Solanki, Shveta Narang, and Kartikeya Kashyap. "Primary mammary tuberculosis: Clinical diagnostic dilemma." Archives of Clinical and Experimental Surgery (ACES) 4.3 (2015), 153-156. Print. doi:10.5455/aces.20140813125045



APA (American Psychological Association) Style

Goyal, S., Solanki, A., Narang, S. & Kashyap, K. (2015) Primary mammary tuberculosis: Clinical diagnostic dilemma. Archives of Clinical and Experimental Surgery (ACES), 4 (3), 153-156. doi:10.5455/aces.20140813125045





Most Viewed Articles
  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447

  • Role of Probiotics in Dental Caries and Periodontal Disease
    Amit Bhardwaj, Shalu V Bhardwaj
    Arch Clin Exp Surg. 2012; 1(1): 45-49
    » Abstract & References » doi: 10.5455/aces.20120212100645

  • Attenuated familial adenomatous polyposis presenting as an abdominal wall mass
    Marc Paul Jose Lopez, John Paul Senon Gonzalez, Manuel Francisco Tanada Roxas
    Arch Clin Exp Surg. 2017; 6(1): 53-55
    » Abstract » doi: 10.5455/aces.20150809085449

  • Use of Polyethylene Fiber (Ribbond) in Pediatric Dentistry
    Eda Arat Maden, Ceyhan Altun
    Arch Clin Exp Surg. 2012; 1(2): 110-115
    » Abstract & References » doi: 10.5455/aces.20120416115640

  • Role of Ultrasonography (“Honeycomb Sign”) in Early Detection of Dengue Hemorrhagic Fever
    Sudhir Sachar, Sunder Goyal, Saurabh Sachar
    Arch Clin Exp Surg. 2013; 2(1): 38-42
    » Abstract & References » doi: 10.5455/aces.20120828025157

  • Barium Enema in the Diagnosis of Hirschsprung’s Disease: A Comparison with Rectal Biopsy
    Mohammad Abbas, Arshad Rashid, Asim Rafiq Laharwal, Ajaz Ahmad Wani, Shabir Ahmad Dar, Manzoor Ahamad Chalkoo, Showkat Majeed Kakroo
    Arch Clin Exp Surg. 2013; 2(4): 224-228
    » Abstract & References » doi: 10.5455/aces.20120703031135

  • Long-Term Productive Cough Caused by Tracheal Bronchus
    Chih-Hao Chen, Shih-Yi Lee, Ho Chang, Tzu-Ti Hung
    Arch Clin Exp Surg. 2012; 1(2): 120-121
    » Abstract & References » doi: 10.5455/aces.20120311102403

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part I Clinical Aspects
    Huseyin Karagoz, Celalettin Sever, Yalcin Bayram, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2012; 1(4): 237-248
    » Abstract & References » doi: 10.5455/aces.20120218124923

  • Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
    Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali
    Arch Clin Exp Surg. 2012; 1(3): 138-141
    » Abstract & References » doi: 10.5455/aces.20120625121721

  • Scorpion sting in a pregnant woman: A case report
    Selim Bozkurt, Mehmet Okumus, Besime Utku, Deniz Cemgil Arikan, Ugur Lok, Fatma Betul Duygu
    Arch Clin Exp Surg. 2015; 4(2): 118-120
    » Abstract & References » doi: 10.5455/aces.20121229025033

  • Most Downloaded
  • Attenuated familial adenomatous polyposis presenting as an abdominal wall mass
    Marc Paul Jose Lopez, John Paul Senon Gonzalez, Manuel Francisco Tanada Roxas
    Arch Clin Exp Surg. 2017; 6(1): 53-55
    » Abstract » doi: 10.5455/aces.20150809085449

  • Role of Probiotics in Dental Caries and Periodontal Disease
    Amit Bhardwaj, Shalu V Bhardwaj
    Arch Clin Exp Surg. 2012; 1(1): 45-49
    » Abstract & References » doi: 10.5455/aces.20120212100645

  • Patient Selection in Plastic Surgery: Recognizing Body Dysmorphic Disorder
    Cihan Sahin, Onat Yilmaz, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Yalcin Kulahci, Alpay Ates
    Arch Clin Exp Surg. 2013; 2(2): 109-115
    » Abstract & References » doi: 10.5455/aces.20120722123102

  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447

  • Use of Polyethylene Fiber (Ribbond) in Pediatric Dentistry
    Eda Arat Maden, Ceyhan Altun
    Arch Clin Exp Surg. 2012; 1(2): 110-115
    » Abstract & References » doi: 10.5455/aces.20120416115640

  • A Study of Methods Used to Reduce Surgical Site Infections
    Stuart R. Walker, Tara Anderson
    Arch Clin Exp Surg. 2012; 1(1): 27-33
    » Abstract & References » doi: 10.5455/aces.20120213053645

  • Slow-Release Drug Deliver System with Polylactic Acid Hydrogels in Prevention of Tracheal Wall Fibroplasia
    Jinrang Li, Lili Peng, Jianjun Sun, Hongguang Guo, Kun Guo, Zuogang Li, Yao Tang, Xu Sun, Shuangqing Zhang
    Arch Clin Exp Surg. 2012; 1(1): 1-7
    » Abstract & References » doi: 10.5455/aces.20120220105531

  • Principles of risk management in surgery departments
    Fatemeh Rezaei, Mohammad H Yarmohammadian, Masoud Ferdosi, Abbas Haghshenas
    Arch Clin Exp Surg. 2015; 4(3): 126-134
    » Abstract & References » doi: 10.5455/aces.20140925015830

  • Post-Traumatic Pancreatic Pseudocyst: Report of Two Cases with Review of Literature
    Sunder Goyal, Sudhir Sachar, Ram Kumar Verma, Snigdha Goyal
    Arch Clin Exp Surg. 2013; 2(4): 251-258
    » Abstract & References » doi: 10.5455/aces.20120524103614

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part I Clinical Aspects
    Huseyin Karagoz, Celalettin Sever, Yalcin Bayram, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2012; 1(4): 237-248
    » Abstract & References » doi: 10.5455/aces.20120218124923

  • Most Cited Articles
  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447
    Cited : 8 times [Click to see citing articles]

  • Experimental Craniofacial Composite Tissue Allotransplantation (CCTA) Models in Rats
    Yalcin Kulahci, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(3): 181-187
    » Abstract & References » doi: 10.5455/aces.20120514010906
    Cited : 7 times [Click to see citing articles]

  • Thoracodorsal Artery Perforator Flap: Basic Surgical Determinants
    Celalettin Sever, Yalcin Bayram, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(4): 270-271
    » Abstract & References » doi: 10.5455/aces.20120506072849
    Cited : 6 times [Click to see citing articles]

  • Pre-expanded Supraclavicular Flap for Post-burn Neck Contractures
    Celalettin Sever, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(1): 61-62
    » Abstract & References » doi: 10.5455/aces.20120205090034
    Cited : 4 times [Click to see citing articles]

  • Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
    Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali
    Arch Clin Exp Surg. 2012; 1(3): 138-141
    » Abstract & References » doi: 10.5455/aces.20120625121721
    Cited : 4 times [Click to see citing articles]

  • The effect of Kristeller maneuver on maternal and neonatal outcome
    Gokhan Acmaz, Evrim Albayrak, Gokalp Oner, Murvet Baser, Gulsum Aykut, Gulender Tas Tekin, Gokmen Zararsiz, Iptisam Ipek Muderris
    Arch Clin Exp Surg. 2015; 4(1): 29-35
    » Abstract & References » doi: 10.5455/aces.20140328024258
    Cited : 4 times [Click to see citing articles]

  • What is the Most Appropriate Animal Model for Experimental Diabetic Neuropathy Studies ?
    Huseyin Karagoz, Mustafa Tansel Kendirli
    Arch Clin Exp Surg. 2012; 1(3): 199-200
    » Abstract & References » doi: 10.5455/aces.20120514012617
    Cited : 3 times [Click to see citing articles]

  • Anesthetic Burns – A Burn Injury Due to A Combination of Local Anaesthetic and Heat Pack
    Stuart Robert Walker
    Arch Clin Exp Surg. 2012; 1(2): 127-128
    » Abstract & References » doi: 10.5455/aces.20120206110836
    Cited : 3 times [Click to see citing articles]

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part II. Experimental Studies
    Huseyin Karagoz, Yalcin Bayram, Celalettin Sever, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2013; 2(1): 49-58
    » Abstract & References » doi: 10.5455/aces.20120218125115
    Cited : 3 times [Click to see citing articles]

  • Students’ View of Evidence-Based Medicine: A Survey in Switzerland
    Reto Kaderli, Larissa Burghardt, Carina Hansali, Adrian Businger
    Arch Clin Exp Surg. 2012; 1(1): 34-40
    » Abstract & References » doi: 10.5455/aces.20120217124737
    Cited : 3 times [Click to see citing articles]