Breast tuberculosis: a case report

Authors

  • Hind Bouyabla Department of Gynecology and Obstetrics, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco
  • Ibtissam Bellajdel Department of Gynecology and Obstetrics, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco
  • Fatima Zahra Bouabdellaoui Department of Gynecology and Obstetrics, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco
  • Samia Malki Department of Anatomopathology, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco
  • Amal Bennani Department of Anatomopathology, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco
  • Hafsa Taheri Department of Gynecology and Obstetrics, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco
  • Hanane Saadi Department of Gynecology and Obstetrics, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco
  • Ahmed Mimouni Department of Gynecology and Obstetrics, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231243

Keywords:

Mammary tuberculosis, Anti-bacillary polychemotherapy, Caseous necrosis

Abstract

Mammary tuberculosis is a rare disease that affects young women during the genital period, usually between the ages of 20 and 40 years, and remains rare in postmenopausal women. Its risk factors are multiparity, breastfeeding, breast trauma and chronic mastitis. Depending on the mode of contamination, there are 2 forms of mammary tuberculosis: primary or secondary. On ultrasound, breast tuberculosis often appears as a heterogeneous hypoechoic image, poorly limited with minimal posterior enhancement. It may also appear as a hypoechoic, homogeneous or heterogeneous image, well limited with posterior enhancement and some calcifications. Histological criteria suggestive of breast tuberculosis are the presence of epithelioid follicles and Langhans-type giant cells, which may or may not be associated with caseous necrosis. A certain number of diagnoses must be eliminated before the diagnosis of breast tuberculosis can be made, in particular breast cancer; it should be noted that the literature describes forms associating cancer and breast tuberculosis, hence the need for a histological study of the breast tissue in order to eliminate an associated carcinoma. It poses diagnostic and therapeutic problems. Current treatment is based on antituberculosis chemotherapy sometimes associated with surgery. The evolution of the disease is usually favourable with a well conducted treatment.

References

Chiali A, Khelil A, Mahmoudi NH, Sahnoun FZ, Abudhies F, Attou D et al. Mastite tuberculeuse : à propos d’un cas. Ann Dermatol Vénéréol. 2018;145(4):A49.

Khanna R, Prasanna GV, Gupta P. Mammary tuberculosis: report on 52 cases. Postgrad Med J. 2002;78:422-4.

Kalac N, Ozkan B, Bayiz H. Breast tuberculosis. Breast. 2002;11:346-9.

Ducroz B, Nael LM, Gautier G. Tuberculose mammaire bilatérale : un cas. J Gynecol Obstet Biol Reprod. 1992;21:484-8.

Wilson JP, Chapman SW. Tuberculous mastitis. Chest. 1990;98:1505-9.

Daali M, Hssaida R, Hda A. La tuberculose primitive du sein. Presse Med. 2001;30:431-3.

Bishara J, Caderon S, Okon E. Coexiting extrapulmonary tuberculosis and malignancy. Am J Med 1998;105:443-6.

Daoud E, Fourati H, Gbariani R. Sein WP-8 Approche diagnostique de la tuberculose mammaire. J Radiol. 2008;89:1632.

Ayman S, Rawya K, Gylan H. Mmmographie and sonographic features of tuberculosis mastitis. Eur J Radiol. 2004;51:54-60.

Symmers W. Tuberculosis of the breast. Br Med J Clin Res. 1984;289:48-9.

Wapnir Il, Pallantm, Gaudino J. Latent Mammary tuberculosis: a case report. Surgery. 1985;98:976-8.

Estrin J, Bernstein M. Tuberculosis mastitis. Southern Med J. 1994;87:1151-52.

Abbond P, Banchéri F, Bajolet-laudinat O. Tuberculose mammaire à propos d’un cas à forme inflammatoire diffuse. J Gynecol Obstet Reprod. 1997;26.822-4.

Benhassouna J, Gammoudi A, Bouzaiene H. La tuberculose mammaire: étude rétrospective de 65 cas. Gynécol Obstet Fértil. 2005;33:870-6.

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Published

2023-04-28

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Section

Case Reports