Pandey Pinki, Dixit Alok, Tanwar Aparna, Mahajan N C
Departments of Pathology, M M Institute of Medical Sciences and Research, Mullana, Ambala. 133203. Haryana, India.
Departments of Pharmacology, M M Institute of Medical Sciences and Research, Mullana, Ambala. 133203. Haryana, India.
Pan Afr Med J. 2014 Jun 19;18:167. doi: 10.11604/pamj.2014.18.167.1494. eCollection 2014.
The coexistence of breast cancer and tuberculosis has been described in over 100 cases; however its coexistence in the axillary lymph node is rare with only a handful cases have been reported in the literature. We report a case of infiltrating ductal carcinoma of the left breast, metastatic to ipsilateral axillary lymph nodes harbouring tuberculous lymphadenitis without primary mammary or pulmonary tuberculosis. The case is presented for its rarity and illustrates that the simultaneous occurrence of tuberculosis and carcinoma can create a dilemma in the diagnosis and treatment, so surgeons and pathologists should keep such a combination on the back of their mind, especially in endemic areas.
乳腺癌与结核病并存的情况已在100多例病例中有所描述;然而,其在腋窝淋巴结中的并存情况罕见,文献中仅报道了少数病例。我们报告一例左乳腺浸润性导管癌,转移至同侧腋窝淋巴结,伴有结核性淋巴结炎,且无原发性乳腺或肺结核。该病例因其罕见性而被呈现,说明结核病和癌症的同时发生会在诊断和治疗中造成两难局面,因此外科医生和病理学家应牢记这种情况的组合,尤其是在流行地区。