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Bilateral Tubercular Mastitis - Case Reports.

A K Chowdhury1, S Mubin, N A Yousuf

  • 1Dr Md Abul Kalam Chowdhury, Assistant Professor, Department of Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh; E-mail: drkalambd@ gmail.com.

Mymensingh Medical Journal : MMJ
|September 3, 2015
PubMed
Summary

Breast tuberculosis is a rare condition often misdiagnosed. Early diagnosis and a full 12-month anti-tubercular treatment regimen effectively resolved lumps and healed ulcers in three adult female patients.

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Area of Science:

  • Oncology
  • Infectious Diseases
  • Pathology

Background:

  • Breast tuberculosis (TB) is a rare mammary condition, accounting for 0.1-4% of all breast diseases.
  • It is frequently misdiagnosed as breast carcinoma or pyogenic abscess, delaying appropriate treatment.
  • Bilateral breast TB is exceptionally uncommon, occurring in only 3% of reported cases.

Observation:

  • Three adult female patients (27–35 years) presented with firm lumps in both breasts and no palpable axillary lymphadenopathy.
  • Fine needle aspiration cytology (FNAC) yielded inconclusive results in two of the three cases.
  • Excisional biopsy confirmed tuberculous mastitis in the two cases with inconclusive FNAC findings.

Findings:

  • All three patients received a four-drug anti-tubercular treatment regimen.
  • Treatment duration varied from 9 to 12 months based on patient response.
  • Complete resolution of breast lumps and healing of ulcers were observed post-treatment.

Implications:

  • This case series highlights the importance of considering breast TB in the differential diagnosis of breast lumps, especially when initial investigations are inconclusive.
  • Prompt diagnosis and adherence to a comprehensive anti-tubercular therapy are crucial for successful management and patient outcomes.
  • Further research into non-invasive diagnostic methods for breast TB could improve early detection rates.