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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Main Author: Amit Gupta
Format: Article
Language:English
Published: Manipal College of Medical Sciences, Pokhara 2017-05-01
Series:Asian Journal of Medical Sciences
Subjects:
Online Access:https://www.nepjol.info/index.php/AJMS/article/view/16847
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author Amit Gupta
author_facet Amit Gupta
author_sort Amit Gupta
collection DOAJ
description 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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spelling doaj.art-c9531c60da404af38d3853b5027cc9762022-12-22T01:06:44ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762017-05-01837275https://doi.org/10.3126/ajms.v8i3.16847Tubercular mastitis: An institutional experience from a tertiary care centre of northern IndiaAmit Gupta0Associate Professor, Department of General Surgery, All India Institute Of Medical Sciences, Rishikesh, Uttarakhand http://orcid.org/0000-0002-4847-4120Background: 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.https://www.nepjol.info/index.php/AJMS/article/view/16847tuberculosisbreastfine needle aspiration cytologyantitubercular drugs
spellingShingle Amit Gupta
Tubercular mastitis: An institutional experience from a tertiary care centre of northern India
Asian Journal of Medical Sciences
tuberculosis
breast
fine needle aspiration cytology
antitubercular drugs
title Tubercular mastitis: An institutional experience from a tertiary care centre of northern India
title_full Tubercular mastitis: An institutional experience from a tertiary care centre of northern India
title_fullStr Tubercular mastitis: An institutional experience from a tertiary care centre of northern India
title_full_unstemmed Tubercular mastitis: An institutional experience from a tertiary care centre of northern India
title_short Tubercular mastitis: An institutional experience from a tertiary care centre of northern India
title_sort tubercular mastitis an institutional experience from a tertiary care centre of northern india
topic tuberculosis
breast
fine needle aspiration cytology
antitubercular drugs
url https://www.nepjol.info/index.php/AJMS/article/view/16847
work_keys_str_mv AT amitgupta tubercularmastitisaninstitutionalexperiencefromatertiarycarecentreofnorthernindia