Prathima S, Kalyani R, Parimala S
Department of Pathology, Sri Devaraj Urs Medical College, Kolar, India.
Department of Microbiology, Sri Devaraj Urs Medical College, Kolar, India.
J Nat Sci Biol Med. 2014 Jan;5(1):184-6. doi: 10.4103/0976-9668.127324.
The significance of primary tubercular mastitis is due to rare occurrence and often overlooked and misdiagnosed as pyogenic breast abscess or malignancy. Despite the high incidence of tuberculosis in India, reports of breast tuberculosis among the total number of mammary conditions varies between 0.64% and 3.59%. We report a case of a 35-year-old lady with breast lump of 3 months duration, which simulated malignancy on clinical examination but fine needle aspiration cytology revealed granulomatous mastitis secondary to tuberculosis. High level of suspicion and simple fine needle aspiration procedure with micro-biological tests will clinch the final diagnosis.
原发性结核性乳腺炎的重要性在于其罕见性，常被忽视且误诊为化脓性乳房脓肿或恶性肿瘤。尽管印度结核病发病率很高，但在所有乳腺疾病中，乳腺结核的报告发生率在0.64%至3.59%之间。我们报告一例35岁女性，有持续3个月的乳房肿块，临床检查疑似恶性肿瘤，但细针穿刺细胞学检查显示为继发于结核的肉芽肿性乳腺炎。高度怀疑并结合简单的细针穿刺检查及微生物检测可确诊。
