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International Journal of
Pathology and Clinical Research ISSN: 2469-5807

Citation

Panwar H, Santosh T, Kumari B, Singh V, Ramchandani RK (2018) Ambiguity in Diagnosis of Extra-Pulmonary Breast Tuberculosis as Breast Abscess/Duct Ectasia. Int J Pathol Clin Res 4:073. doi.org/10.23937/2469-5807/1510073

Copyright

© 2018 Panwar H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2469-5807/1510073

Ambiguity in Diagnosis of Extra-Pulmonary Breast Tuberculosis as Breast Abscess/Duct Ectasia

Hemlata Panwar1, T Santosh1*, Bharti Kumari2, Vandita Singh2 and RK Ramchandani3

1Department of Pathology and Lab Medicine, All India Institutes of Medical Sciences (AIIMS), Bhopal, India

2Department of Pathology and Lab Medicine, All India Institutes of Medical Sciences (AIIMS), Raipur, India

3Department of Surgery, All India Institutes of Medical Sciences (AIIMS), Raipur, India

Abstract

Background

Tubercular mastitis is a great masquerader and is an extremely rare entity as extra-pulmonary tuberculosis even in endemic countries like India and incidence accounts for 4% of breast lesions.

Case report

We report a case of primary TB of breast in a elderly female presenting as diffuse upper left breast lump with indurated and ulcerated overlying skin along with retraction of nipple. Clinically suspicion was of abscess and duct ectasia. Fine needle aspiration cytology (FNAC) of breast lump with touch imprint smears was done. FNAC showed epithelioid cell granulomas, Langhans type of giant cells with the presence of acid-fast bacilli on Ziehl Neelsen (ZN) stains.

Conclusions

FNAC diagnosis of tubercular mastitis is a useful tool for the proper management and treatment of patient thus avoiding unnecessary surgery.