Primary Breast Tuberculosis Mimicking Carcinomatous Mastitis: A Case Report

作     者：Zo Irène Raivoherivony Lalaina Nomenjanahary Fenohery Nalisoa Rakotondrainibe Nantenaina Soa Randrianjafisamindrakotroka Zo Irène Raivoherivony;Lalaina Nomenjanahary;Fenohery Nalisoa Rakotondrainibe;Nantenaina Soa Randrianjafisamindrakotroka

作者机构：Department of Pathology Joseph Ravoahangy Andrianavalona University Hospital Antananarivo Madagascar Department of Pathology Anosiala University Hospital Antananarivo Madagascar Department of Pathology Medical School of Antananarivo Antananarivo Madagascar 

出 版 物：《Open Journal of Pathology》 (病理学期刊（英文）)

年 卷 期：2021年第11卷第3期

页      面：79-83页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Mastitis Breast Disease Extra-Pulmonary Tuberculosis 

摘      要：The breast is a rare localization of extra-pulmonary tuberculosis, even in highly endemic countries. It is most often primitive. The clinical and radiological features are sometimes misleading. It poses diagnostic problems especially with cancer. We report a case of breast tuberculosis having clinical and radiological presentations as a breast carcinoma. Through this observation and a review of the literature, we provide an update on the epidemiological characteristics and the means of diagnosis of this lesion. It was a 52-year-old woman with inflammatory lump of the left breast, adherent to the skin. Ultrasonography and mammography revealed a homogeneous, poorly demarcated nodule of approximately 4 cm of diameter, classified ACR4. Surgical excision was performed. The histological diagnosis was breast tuberculosis. The diagnosis of tuberculous mastitis is made on bacteriological and pathological examinations. Histological examination helps for diagnostic confirmation while excluding a malignant lesion of the breast.