561. Mammary Tuberculosis: A Disease Not to be Forgotten
Session: Poster Abstract Session: Clinical Tuberculosis: Trends and Experiences
Thursday, October 8, 2015
Room: Poster Hall
Posters
  • P 561.pdf (61.6 kB)
  • Background: Tuberculosis of the breast is a rare entity. It may be confused with carcinoma or bacterial abscesses. The objective of this study was to report the different modes of presentation, the diagnosis and the response to specific treatment of breast tuberculosis.

    Methods: We conducted a retrospective analysis of 17 women with tuberculosis of the breast between 1990 and 2014.

    Results: The average age was 40 ± 12 years. Two patients had previous pulmonary tuberculosis. All patients were parous, 3 were pregnant and 1 was lactating. The predominant clinical presentation was a painful tumor formation in 15 cases (88.2%). Axillary nodes were observed in 11 cases (71%). The upper outer quadrant was involved in 8 cases (47.1%). Mammography suggested cancer in 4 cases (23%). The diagnosis of mammary tuberculosis was based on pathology findings in 15 cases (88%). All patients had an anti-tuberculosis medical treatment. The mean duration of treatment was 10 ± 1.6 months. Clinical course was favorable in all cases.

    Conclusion: Clinical and radiological features of mammary tuberculosis are very confusing and cause a diagnostic problem with breast cancers. Pathology confirmation is required for diagnosis. Conservative surgery and anti-tuberculosis drugs seem to be adequate treatment.

    Houda Ben Ayed, MD1, Makram Koubaa, MD1, Asma Tlijani, MD1, Chakib Marrakchi, MD1, Imed Maaloul, MD1, Boussaima Hammami, MD1, Zeinab Mnif, MD2 and Mounir Ben Jemaa, MD1, (1)Department of Infectious Diseases, Hedi Chaker University Hospital, Sfax, Tunisia, (2)Department of Radiology, Hedi Chaker University Hospital, Sfax, Tunisia

    Disclosures:

    H. Ben Ayed, None

    M. Koubaa, None

    A. Tlijani, None

    C. Marrakchi, None

    I. Maaloul, None

    B. Hammami, None

    Z. Mnif, None

    M. Ben Jemaa, None

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