Tuberculosis of the breast presenting as carcinoma.
Breast infections caused by Mycobacterium tuberculosis, although rare in western countries, should not be forgotten as a cause of a breast lump presenting clinically and radiologically as a carcinoma in the older patient who gives a history of previous tuberculosis. We report the case of an 84-year-old woman with a breast lump showing noncaseating granulomas on histology who developed a sinus track after excision biopsy of the lump. The patient responded to empiric treatment with anti-tuberculosis drugs and remains well 2 years after presentation.
O'Reilly
M
M
Department of Radiology, Queen Mary's University Hospital, Roehampton, London, United Kingdom.
Patel
K R
KR
Cummins
R
R
D000368:Aged; D000369:Aged, 80 and over; D000995:Antitubercular Agents / Q000627:therapeutic use; D001707:Biopsy, Needle; D001941:Breast Diseases / Q000145:classification / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D001943:Breast Neoplasms / Q000175:diagnosis*; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008327:Mammography; D014057:Tomography, X-Ray Computed; D014375:Tuberculoma / Q000145:classification / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D014396:Tuberculosis, Pleural / Q000150:complications*
D000995:Antitubercular Agents