Breast tuberculosis: report of eight cases

Area of Science:

• Oncology
• Infectious Diseases
• Pathology

Background:

• Mammary tuberculosis is an exceptionally rare clinical condition.
• It is frequently misdiagnosed as breast carcinoma or bacterial abscesses, delaying appropriate treatment.
• This study focuses on the clinical presentation and management of this rare disease.

Purpose of the Study:

• To report on eight cases of mammary tuberculosis diagnosed over a four-year period.
• To highlight the diverse clinical signs and symptoms associated with breast tuberculosis.
• To emphasize the diagnostic methods and treatment strategies employed.

Main Methods:

• Retrospective analysis of eight patients diagnosed with mammary tuberculosis.
• Diagnosis confirmed via fine-needle aspiration cytology and histological examination.
• Clinical data including signs, symptoms, and treatment outcomes were reviewed.

Main Results:

• Eight cases of mammary tuberculosis were identified over four years.
• Common presentations included painful or painless breast lumps, sinuses, and axillary lymphadenopathy.
• Antitubercular therapy was the primary treatment, with surgery reserved for complications like abscesses or sinuses.

Conclusions:

• Mammary tuberculosis, though rare, requires a high index of suspicion due to its potential for misdiagnosis.
• Fine-needle aspiration cytology and histology are crucial for accurate diagnosis.
• Effective management relies on antitubercular therapy, with surgical intervention playing a supportive role.