Tuberculous mastitis: A masquerading face of granulomatous mastitis

被引:2
作者
Ucan, Eyup Sabri [1 ]
Alpaydin, Aylin Ozgen [1 ]
Karayazi, Damla Gunduz [1 ]
Kapkac, Murat [2 ]
Takar, Burca [1 ]
Zekioglu, Osman [3 ]
Balci, Pinar [4 ]
Yilmaz, Mehmet Rasih [2 ]
机构
[1] Dokuz Eylul Univ, Dept Pulmonol, Fac Med, Izmir, Turkey
[2] Ege Univ, Dept Gen Surg, Fac Med, Izmir, Turkey
[3] Ege Univ, Dept Pathol, Fac Med, Izmir, Turkey
[4] Dokuz Eylul Univ, Dept Radiol, Fac Med, Izmir, Turkey
来源
TUBERKULOZ VE TORAKS-TUBERCULOSIS AND THORAX | 2022年 / 70卷 / 03期
关键词
Mastitis; tuberculosis mastitis; granulomatous mastitis; breast abscess; BREAST TUBERCULOSIS; DIAGNOSIS; FEATURES;
D O I
10.5578/tt.20229706
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Introduction: Tuberculosis (TB) mastitis is a rare form of granulomatous mas-titis. We aimed to evaluate the clinical characteristics and prognosis of patients diagnosed with TB mastitis.Materials and Methods: A descriptive study was carried out on patients who were reported to national tuberculosis control authorities as having TB masti-tis between 2003 and 2021. Demographic, histopathological, and radiological data including mammography, ultrasonography (US), and magnetic resonan-ce imaging (MRI) were reviewed. All were followed up to 24 months and prognosis was also evaluated.Results: This study identified 29 TB mastitis patients who had been diagnosed using excisional biopsies. The mean age was 33.5 +/- 10.1, all were premeno-pausal women. The most common symptom was breast mass (n= 24, %82.8), nearly half of the patients also had ipsilateral axillary lymphadenopathy (n= 14, 48.3). One-fourth of the patients had bilateral involvement (n= 7, 24.1%), and half of the patients (n= 16, 55.2%) presented with multiple masses. One patient had co-existing pulmonary TB. Predisposing factors for TB were not identified in any of the patients. Nearly half of the patients rece-ived prior mastitis treatment. The most common radiological finding was mass in both mammography and US. All patients received anti-tuberculosis treat-ment of a standard regimen for six to 21 months, three patients had a relapse but were finally cured.Conclusion: TB mastitis should be suspected in young and premenopausal women presenting with a breast mass and axillary lympha-denopathy in an endemic region. Radiological findings could not identify the diagnosis. A multidisciplinary approach including bacteriology and histopathology should be performed. Anti-tuberculosis treatment can be implemented successfully.
引用
收藏
页码:271 / 278
页数:8
相关论文
共 19 条
[11]   Imaging features and diagnosis of tuberculosis of the breast [J].
Longman, C. F. ;
Campion, T. ;
Butler, B. ;
Suaris, T. D. ;
Khanam, A. ;
Kunst, H. ;
Tiberi, S. ;
O'Keeffe, S. A. .
CLINICAL RADIOLOGY, 2017, 72 (03) :217-222
[12]   Efficacy and safety of oncoplastic surgery plus drug therapy for chronic tuberculous granulomatous mastitis [J].
Pinto Paz, M. E. ;
Bueno Lazo, L. ;
Carrera Palao, D. ;
Pinto Ruiz, D. F. ;
Huaman, M. R. ;
Quispe, A. M. .
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, 2020, 24 (06) :585-+
[13]  
Ramaema Dibuseng P, 2015, S Afr Med J, V105, P866, DOI 10.7196/SAMJnew.7704
[14]  
Sinha Richa, 2019, Indian J Tuberc, V66, P6, DOI 10.1016/j.ijtb.2018.07.003
[15]   Breast Tuberculosis in Southeast Turkey: Report of 27 Cases [J].
Tanrikulu, Abdullah C. ;
Abakay, Abdurrahman ;
Abakay, Ozlem ;
Kapan, Murat .
BREAST CARE, 2010, 5 (03) :154-157
[16]  
Tewari M, 2005, INDIAN J MED RES, V122, P103
[17]   Breast Tuberculosis [J].
Thimmappa, Durganna ;
Mallikarjuna, M. N. ;
Vijayakumar, Abhishek .
INDIAN JOURNAL OF SURGERY, 2015, 77 :S1378-S1384
[18]  
who, Global tuberculosis report 2020
[19]   Granulomatous Mastitis: A Therapeutic and Diagnostic Challenge [J].
Wolfrum, Angelika ;
Kuemmel, Sherko ;
Theuerkauf, Ingo ;
Pelz, Enrico ;
Reinisch, Mattea .
BREAST CARE, 2018, 13 (06) :413-418