Tubercular mastitis: An institutional experience from a tertiary care centre of northern India
Background: Tuberculous mastitis (TM) is a rare extra pulmonary presentation of tuberculosis. It may be problematic to distinguish from carcinoma breast, a condition with which it may coexist. Fine needle aspiration cytology (FNAC) / biopsy are indispensable for diagnosis and tuberculosis culture w...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2017-05-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/16847 |
| Summary: | Background: Tuberculous mastitis (TM) is a rare extra pulmonary presentation of tuberculosis. It may be problematic to distinguish from carcinoma breast, a condition with which it may coexist. Fine needle aspiration cytology (FNAC) / biopsy are indispensable for diagnosis and tuberculosis culture when positive may be very valuable to guide antimicrobial therapy.
Aims and Objectives: To disseminate the message to the concerned expertise that it can present a diagnostic problem on radiological and microbiological investigations, and thus a high index of suspicion is needed.
Materials and Methods: 19 cases of tubercular mastitis between January 2012 to March 2014 were identified and included in the present study. Cytology and biopsy alongwith AFB stain was done for confirmation.
Results: Age ranged between 23- 55 years (median 33 years). Axillary nodes were palpable in 9 (47.3%) patients. Acid Fast Bacilli stain which was positive in only 3 patients. All the 19 patients were started on antitubercular treatment.
Conclusion: This study highlights the importance of early diagnosis and aggressive medical and if required surgical management to cure this disease. |
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| ISSN: | 2467-9100 2091-0576 |