Case Report

Primary Tuberculosis of the Breast Manifested as Abscess:

a Rare Case Report

By: Chintia Citra (11-029)

Preseptor : dr. Dessy Wimelda, Sp.Rad

Samita Gupta, Vikram J. Singh, Gaurav Bhatia, Kshitiz Dhuria

Acta Medica Indonesiana - The Indonesian Journal of Internal
 INTRODUCTION

High TB
burden
Breast tuberculosis
• The incidence of isolated TB of the breast
Rare condition
1829 on Breast ranges from 0.10% to 0.52%
• Commonly mammary tissue was resistent
to mycobacterium tuberculosis
Primary form
on Breast

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 CASE ILLUSTRATION
History
A 42 year old female
reported with pain in • She started feeling heaviness in her right
breast since 20 days before.
the right breast since two
• No other complaints
months with on and
• She taking treatment from private
off fever. hospital, no relieve
• Physical examination:
Temperature was raised
Tender lump was felt in the upper outer
quadrant; consitency: firm
m4
Additional Examination

Needel
Blood; Mantuox Ches X ray Ultrasonography
Aspiration
 Treatment
Pus Drainage
Drained out of about 100 ml. Sent for Acid
fast bacili stain and culture Antitubercular drugs
↓
• Acid fast bacili stain and culture (-)
• Histopatology: Breast tuberculosis
↓

At follow up of 3 months, patient recovered very

well and advised to continue treatment

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 Additional Examination

Figure 1. Ultrasonography of breast showed Figure 2. Photomicrograph showing caseating

hypoechoic lesion with multiple internal echoes granulomain the breast (H & E ,X – 200)

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 DISCUSSION
Epidemiology

Tuberculosis of breast

Classification of Breast tuberculosis

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 DISCUSSION
Examination
Ultrasound show hypoechoid lesion with heterogenous internal echoes
and irregular borders but not specific.

Diagnosis
Gold standard: Microbiological and histological examination

Treatment
• Tuberculosis mastitis  conservative surgery and anti-tuberculosis
chemoterapy.

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 CONCLUSION
Breast TB must be considered in young patients
presenting with a palpable lump, especially if they are
lactating. A histological examination is required for
confrmation. We concluded that if presented with abscess
then also we should go for aspiration cytology keeping in
mind chances of tuberculosis
Thank You