title: Suspected gouty tophus in a woman's breast.
abstract: A postmenopausal woman treated with diuretics for hypertension and who underwent surgery for a previous fibroadenoma of the left breast presented, in December 2003, with a sudden bloody discharge of the left nipple with local swelling, redness, and pain. Radiologic investigations revealed a well-delimited tumor under the areola. Needle aspiration disclosed many histiocytes but no bacteria. Despite improvement with antibiotics, the tumor was removed. Pathological examination shows features suggesting the tumor was a gouty tophus. Birefringent crystals were retrospectively found on the smears of the aspirated material. To our knowledge, only 3 similar cases have been reported in the literature.
authors.affiliation: Département de Rhumatologie, Hôpital, La Chaux-de-Fonds, La Chaux-de-Fonds, Switzerland. daniel.vanlinthoudt@ne.ch
authors.forename: Daniel
authors.initials: D
authors.lastname: Van Linthoudt
authors.forename: François
authors.initials: F
authors.lastname: Joris
authors.forename: Brigitte
authors.initials: B
authors.lastname: Christen
authors.forename: Andrej
authors.initials: A
authors.lastname: Pazera
authors.forename: Monica
authors.initials: M
authors.lastname: Nobel
authors.forename: Luc
authors.initials: L
authors.lastname: Magnanelli
authors.forename: Laurent
authors.initials: L
authors.lastname: Malterre
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001707:Biopsy, Needle; D001940:Breast / Q000473:pathology; D001941:Breast Diseases / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006073:Gout / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D017698:Postmenopause
chemical_list: D000900:Anti-Bacterial Agents