Tuberculous mastitis simulating carcinoma of the breast in a young Nigerian woman: a case report.
Tuberculous mastitis is an uncommon disease even in countries where tuberculosis is highly endemic. It typically presents a diagnostic challenge masquerading as carcinoma or other primary disease of the breast. We report the case of a young multiparous Nigerian woman who presented with a tender left breast lump and enlargement of the left axillary lymph nodes for which a provisional diagnosis of carcinoma of the breast was made after clinical and radiological evaluation. The mass was pathologically diagnosed as tuberculous mastitis and anti-tuberculous therapy was instituted although she later absconded. This case shows that TM may present a diagnostic challenge on clinical, radiologic and microbiological investigation. Therefore, a high index of suspicion as well as FNAC and/or histological evaluation of tissue samples remain very important its diagnosis.
Department of Morbid Anatomy and Histopathology, Ladoke Akintola University of Technology Teaching Hospital, Ogbomoso, Oyo State, Nigeria.
Donatus
D
Sabageh
Shalom Medical Centre, Ogbomoso, Oyo State, Nigeria.
Emmanuel Afolabi
EA
Amao
Department of Morbid Anatomy and Histopathology, Ladoke Akintola University of Technology Teaching Hospital, Ogbomoso, Oyo State, Nigeria.
Adebisi
A
Ayo-Aderibigbe A
Department of Community Medicine, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, Nigeria.
Adedayo Olukemi
AO
Sabageh
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use*; D001943:Breast Neoplasms / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008413:Mastitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D009549:Nigeria; D014376:Tuberculosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology
D000995:Antitubercular Agents
Nigerian woman; Tuberculous mastitis; breast carcinoma; mimic