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New Indian Journal of Surgery

Volume  8, Issue 2, April - June 2017, Pages 154-157
 

Case Report

Tuberculous Mastitis Presenting as Breast Abscess: Case Report of Two Patients

Rekha Subramaniyam*, Ravi Kumar**, Shivaram S.*, Sandeep*

*Post Graduates **Professor, Department of General Surgery, MVJ Medical College and Research Hospital, Hoskote, Bangalore, Karnataka 562114, India.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8217.26

Abstract

Introduction: Tuberculous mastitis is a rare clinical entity. It often mimics breast carcinoma and pyogenic breast abscess clinically. Case Presentation: We present 2 cases of Tubercular mastitis who presented as lump in the breast, with radiology showing features of abscess. FNAC and Tissue biopsy showing granulomatous mastitis and Acid Fast Bacilli was demonstrated on ZeihlNeelson Stain in both cases. Patients were treated with Anti tubercular treatment for 6 months under extra pulmonary category. Both patients improved and were asymptomatic at the end of the treatment. Conclusion: A high index of suspicion is required for diagnosis of breast tuberculosis. Antitubercular drugs in combination with aspiration or surgical drainage are usually associated with an excellent outcome.

 


Keywords : Tubercular Mastitis; TB Breast; Cold Abscess. 
Corresponding Author : Rekha Subramaniyam, Department of General Surgery, MVJ Medical College and Research Hospital, Hoskote, Bangalore, Karnataka 562114, India.