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Tuberculous mastitis presenting as breast abscess.
Leo Francis Tauro1, John S Martis, Celine George
1Department of General Surgery Fr. Muller Medical College Hospital Kankanady, Mangalore - 575002 (D.K.), Karnataka, India.
Oman Medical Journal
|November 2, 2011
Summary
Tuberculous mastitis, a rare condition often seen in women from Africa and the Indian sub-continent, can mimic breast cancer. Diagnosis requires fine needle aspiration cytology (FNAC) or biopsy for effective treatment.
Area of Science:
- Oncology
- Infectious Diseases
- Pathology
Background:
- Tuberculous mastitis is an uncommon breast infection, predominantly affecting women in specific geographic regions.
- It presents diagnostic challenges due to its clinical and radiological resemblance to breast carcinoma and pyogenic abscesses.
Observation:
- Standard laboratory tests are insufficient for diagnosing tuberculous mastitis.
- Fine needle aspiration cytology (FNAC) and biopsy are crucial for definitive diagnosis.
- Co-infection with breast carcinoma or pyogenic abscesses can occur.
Findings:
- Tuberculosis culture, when positive, aids in guiding appropriate antimicrobial therapy.
- Combined treatment with antitubercular drugs and surgical or aspiration drainage yields excellent outcomes.
Implications:
- Early and accurate diagnosis of tuberculous mastitis is vital for appropriate management.
- Understanding the mimics of breast cancer is important for clinicians in endemic areas.
- Effective treatment strategies involve a combination of medical and surgical interventions.
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