Tubercular Breast Lesion A Great Mimicker of Carcinoma Breast

Bnk Kumar,Bhargav Pandya,D Das,Pn Sheeramulu

doi:10.3126/njr.v3i1.8822

Bnk Kumar, Bhargav Pandya + Show 2 more

Open Access

https://doi.org/10.3126/njr.v3i1.8822

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Abstract

Breast tuberculosis is uncommon entity with confusing clinical, radiological and even microbiological presentation which is often misdiagnosed as breast carcinoma or breast abscess.1 A 28 year old female patient presented with a swelling in outer quadrant of left breast which resembled carcinoma of breast but on ultrasound a hypoechoic lesion was noted which turned out to be tuberculosis on histopathology.Conclusion: Breast tuberculosis (TB) is a rare disease typically affecting young lactating multiparous women and can present either as an abscess or as a unilateral, painless breast mass which can easily be confused with carcinoma.2, 3 Nepalese Journal of Radiology / Vol.3 / No.1 / Issue 4 / Jan-June, 2013 / 99-102 DOI: http://dx.doi.org/10.3126/njr.v3i1.8822

Highlights

A 28 year old female presented with a palpable non –tender swelling in the left upper outer quadrant of left breast since three months duration
Right breast appears to be normal whereas left breast shows a dense illdefined lesion in the upper quadrant, lesion was considered highly suspicious for malignancy
In the abscence of well-defined clinical features, the true nature of the disease remains obscure and it is often mistaken for carcinoma or pyogenic breast abscess.[5]

Summary

Introduction

A 28 year old female presented with a palpable non –tender swelling in the left upper outer quadrant of left breast since three months duration. The patient did not have fever, weight loss or any releant past medical history. A hypo echoic well defined lobulated oval mass lesion with an anechoic cystic area in the left upper-outer quadrant measuring approximately 3.5 x2.4 cm was noted. Kumar et al Tubercular Breast Lesion A Great Mimicker of Carcinoma Breast was mild surrounding architectural distortion but no calcifications were noted. On mammography a dense lobulated breast lesion was noted in the left upper-outer quadrant. Based on imaging findings the mass was highly suspicious for malignancy and ultrasound guided breast biopsy was suggested. Right breast appears to be normal whereas left breast shows a dense illdefined lesion in the upper quadrant, lesion was considered highly suspicious for malignancy

Discussion

Conclusion