title: Bilateral Mammary Tuberculosis Associated with a Borderline Ovarian Tumor.
abstract: BACKGROUND: Mammary tuberculosis is rare in the Western world. It has no defined clinical or imaging features, and has to be differentiated from breast cancer and an abscess. CASE REPORT: We present a case of mammary tuberculosis combined with borderline ovarian cancer. The bilateral breast tuberculosis was the first and only symptom of underlying tuberculosis with Ziehl-Neelsen-positive para-aortic lymph nodes. During further exploration, an asymptomatic pelvic mass was discovered, which appeared later to be a borderline ovarian tumor. The patient was treated with tuberculostatic therapy for 6 months, resulting in a complete regression of the breast lesions. She also underwent hysterectomy with bilateral salpingo-oophorectomy and lymph node dissection for her ovarian cancer. CONCLUSIONS: This case report emphasizes that breast tuberculosis should be included in the differential diagnosis of any atypical breast mass.
authors.affiliation: Department of Obstetrics and Gynecology, R.Z. Heilig Hart, Tienen, Belgium.
authors.forename: Joachim
authors.initials: J
authors.lastname: Van Keirsbilck
authors.forename: Ine
authors.initials: I
authors.lastname: Riphagen
authors.forename: Hans
authors.initials: H
authors.lastname: Struyven
authors.forename: Andre
authors.initials: A
authors.lastname: Van den Eeckhout
authors.forename: Ann
authors.initials: A
authors.lastname: Cornelis
authors.forename: Patrick
authors.initials: P
authors.lastname: Neven
authors.forename: Frederic
authors.initials: F
authors.lastname: Amant
authors.forename: Ignace
authors.initials: I
authors.lastname: Vergote
references.citation: J Clin Oncol. 2000 Feb;18(3):487-97
references.pmid: 10653864
references.citation: Indian J Med Res. 2005 Aug;122(2):103-10
references.pmid: 16177466
references.citation: Fertil Steril. 2006 Aug;86(2):460-1
references.pmid: 16806214
references.citation: Gynecol Oncol. 2006 Nov;103(2):565-9
references.pmid: 16740297
references.citation: Gynecol Obstet Fertil. 2005 Nov;33(11):870-6
references.pmid: 16256403
references.citation: Breast J. 2004 Jan-Feb;10(1):60
references.pmid: 14717764
references.citation: Postgrad Med J. 2002 Jul;78(921):422-4
references.pmid: 12151660
references.citation: Diagn Interv Radiol. 2005 Dec;11(4):210-2
references.pmid: 16320227
references.citation: Radiographics. 2005 Mar-Apr;25(2):411-24
references.pmid: 15798059
references.citation: ANZ J Surg. 2006 Apr;76(4):234-7
references.pmid: 16681540