Start Submission Become a Reviewer

Reading: Primary breast tuberculosis

Download

A- A+
Alt. Display

Images in Clinical Radiology

Primary breast tuberculosis

Authors:

S Termos ,

Department of Surgery, Division of General Surgery, Makased General Hospital, Beirut, Lebanon
X close

E Sbeity,

Department of Surgery, Division of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon
X close

M Oweidat,

Department of Surgery, Division of General Surgery, Makased General Hospital, Beirut, Lebanon
X close

Z R Korban,

Department of Surgery, Division of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon
X close

G S Abi Saad

Department of Surgery, Division of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon
X close

Abstract

A 67-year-old Mediterranean single lady presented with a right breast lump that had been gradually increasing in size for four months. On palpation, the mass measured 3 x 5 cm in size and felt solid and irregular in nature. No redness or change in skin color was noted. A draining sinus from the medial aspect of the ipsilateral axilla was noted. This was associated with purulent discharge and a palpable 2 cm axillary lymph node. The patient reported no fever, cough or sputum production. Her chest Xray was normal. Ultrasound of the breasts showed a large hypoechoic solid nodule with slightly irregular contour in the right breast (A) raising the suspicion of a phylloides tumor or fibroadenoma. Multiple axillary lymph nodes were also noted, one of which was associated with a sinus tract. Mammography revealed a suspicious irregular mass in the right breast (B). Magnetic resonance imaging (MRI) of the breasts showed a macro-lobulated cyst with a necrotic component and a thick peripheral rim (C). There was extension to the pectoralis major muscle with linear extension to the lymph nodes, some of which were necrotic. Core needle biopsy of the cystic mass ruled out malignancy but showed abundance of inflammatory cells. The patient was taken to the operating room for excision of the right breast mass. An incision over the mass was extended to the axilla whereby the mass was totally excised down to the pectoral muscles together with the axillary sinus which was communicating with both lymph nodes. The frozen section was negative for malignancy.

How to Cite: Termos S, Sbeity E, Oweidat M, Korban ZR, Abi Saad GS. Primary breast tuberculosis. Journal of the Belgian Society of Radiology. 2011;94(2):98. DOI: http://doi.org/10.5334/jbr-btr.517
35
Views
34
Downloads
Published on 24 Feb 2011.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus