title: Scrofulous swelling of the bosom masquerading as cancer.
abstract: Tuberculosis of breast is very rare with an incidence of 0.1-0.5%. It can be primary or secondary. Except in patients presenting with sinuses, it is a challenge to diagnose it. A 40 year old premenopausal lady presented with breast lump increasing in size for 3 months. Mammogram showed a lesion suspicious of malignancy and trucut biopsy showed necrotic material only. Intraoperatively there was caseous necrosis and the tract from breast was extending to rib. It is a rare case with few case reports been reported where a rib tuberculosis presents as a breast lump rather than retromammary abscess.
authors.forename: V R
authors.initials: VR
authors.lastname: Challa
authors.affiliation: Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: A
authors.initials: A
authors.lastname: Srivastava
authors.forename: A
authors.initials: A
authors.lastname: Dhar
mesh_terms: D000328:Adult; D001940:Breast / Q000473:pathology; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006651:Histocytochemistry; D006801:Humans; D008327:Mammography; D008413:Mastitis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008853:Microscopy; D014376:Tuberculosis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery