Retrospective analysis of seven breast tuberculosis cases

Çakar, Beyhan; Çiledağ, Aydın

doi:10.3892/etm.2016.3705

Cited by 7 publications

(8 citation statements)

References 13 publications

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“…It usually occurs secondary to a centripetal lymphatic spread of M. tuberculosis from the lungs to the mammary tissue through the lymph nodes of these areas . Gumma, nodules, and draining sinus are usually unilateral, as were in our cases . Scrofuloderma and gumma were associated with skeletal system involvement .…”

Section: Discussionsupporting

confidence: 76%

“…Gumma, nodules, and draining sinus are usually unilateral, as were in our cases . Scrofuloderma and gumma were associated with skeletal system involvement . The diagnosis in these cases took a long time, making the disease much worse, causing us to always consider the possibility of concomitant subclinical bone disease upon the diagnosis of CTB in this localization.…”

Section: Discussionsupporting

confidence: 57%

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Cutaneous tuberculosis in Rio de Janeiro, Brazil: description of a series of 75 cases

et al. 2019

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Background Brazil is one of the highest tuberculosis (TB) burden countries of the world. Cutaneous tuberculosis (CTB) is a rare form of extrapulmonary manifestation of tuberculosis. This study aimed to describe the clinico‐evolutive, laboratory and therapeutic aspects of CTB cases among patients from a cohort with TB in Rio de Janeiro, Brazil. Methods Cases of diagnosed CTB with microbiologic confirmation or clinical response to anti‐tuberculous treatment associated with positive smear or histopathological findings between the years 2000 and 2016 were selected. Results Seventy‐five patients with CTB were included, most were women (58.7%) with a median age of 42 years. CTB diagnosis was based on culture in only 42.7% of the cases. Scrofuloderma represented 50.7% of the cases, followed by erythema induratum of Bazin (EIB) (18.7%), tuberculous gumma (13.3%), lupus vulgaris (8%), TB verrucosa cutis (4%), orificial TB (2.7%) and associated forms (2.7%). Other TB presentations were pulmonary (22.7%), mammary (6.6%) and osteoarticular (4%). All patients who completed the treatment (97.3%) had their lesions healed. Only two patients (2.6%) needed to change the therapy due to adverse reactions. Fifty percent of EIB patients presented recurrence. Conclusions These data highlight the diversity of CTB presentations and the importance of the skin to assist in early identification and treatment of TB. More studies are necessary to improve the knowledge on EIB for a better approach towards these patients, mainly in cases of recurrence.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionsupporting

confidence: 57%

Cutaneous tuberculosis in Rio de Janeiro, Brazil: description of a series of 75 cases

et al. 2019

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“…In addition, hematologic spread from remote lesions or direct extension from the adjacent skin lesions might also occur [4]. Lactation, which involves increased blood flow to the mammary glands, has been reported to be a risk factor for breast tuberculosis [8]. In endemic countries, tuberculous mastitis most commonly occurs in women of reproductive age, that is, those aged 20-40 years [7,8].…”

Section: Discussionmentioning

confidence: 99%

“…Lactation, which involves increased blood flow to the mammary glands, has been reported to be a risk factor for breast tuberculosis [8]. In endemic countries, tuberculous mastitis most commonly occurs in women of reproductive age, that is, those aged 20-40 years [7,8]. However, as in this case, tuberculous mastitis can occasionally occur in elderly patients [9] and sometimes even in men [7].…”

Section: Discussionmentioning

confidence: 99%

Breast tuberculosis presenting with intractable mastitis: a case report

et al. 2021

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Background Breast tuberculosis, also known as tuberculous mastitis, is an extremely rare form of tuberculosis. It accounts for <0.1% of all breast diseases and <2% of all cases of tuberculosis. It is often misdiagnosed as breast cancer, which can potentially lead to a delayed diagnosis. Case presentation A 69-year-old Japanese woman presented with a tumor-mimicking lesion in her right breast, followed by intractable mastitis with a fistula formation. The time until the correct diagnosis of tuberculosis of the breast and sternal bone was 14 months. Conclusions Although rare, it is important to recognize that tuberculous mastitis can present as refractory abscesses/mastitis or mass lesions that mimic carcinomas in women of reproductive age and elderly people. Breast tuberculosis should always be considered in the differential diagnoses, particularly in patients with a history of tuberculosis and those living in areas where tuberculosis is endemic.

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“…Çakar and Çiledag evaluated consecutive patients treated for TB in an 8 year period from 2006 to 2013. They suggested that the incidence of mammary TB constituted 1.08% of all the patients diagnosed [2]. In India, recent reports have found the incidence of this entity to be 3-4.5% of all surgically treated breast lesions [1,3,4].…”

mentioning

confidence: 99%

Interpectoral Tuberculous Lymphadenitis Masquerading as Carcinoma Breast: A Case Report

Hariharan¹,

Rao²,

Naidu³

et al. 2017

IJCR

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Carcinoma of the breast is showing a rising trend in India and is an important diagnosis in an elderly postmenopausal lady presenting with a breast mass. Clinical assessment and mammography are the initial diagnostic tools. Unfortunately, in India, tuberculosis (TB) continues to remain an important public health problem. While mammary TB is relatively rare and has traditionally been described in young lactating multiparous women, this clinical picture can at times be misleading. TB is known to be a great masquerade, and TB granulomatous mastitis often mimics malignancy in the breast. An accurate diagnosis is essential as the treatment for these two entities is entirely different. We present a case of a breast lump in an elderly postmenopausal lady, which at the time of surgery, proved to be a caseating TB interpectoral node.

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Retrospective analysis of seven breast tuberculosis cases

Cited by 7 publications

References 13 publications

Cutaneous tuberculosis in Rio de Janeiro, Brazil: description of a series of 75 cases

Cutaneous tuberculosis in Rio de Janeiro, Brazil: description of a series of 75 cases

Breast tuberculosis presenting with intractable mastitis: a case report

Interpectoral Tuberculous Lymphadenitis Masquerading as Carcinoma Breast: A Case Report

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