Journal of

Case Reports and Images in Surgery

 
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Case Report
 
A case of primary breast tuberculosis at a United Kingdom district general hospital
Urpinder Singh Grewal1, Alexander Martin2, Steven Goh3
1BMBS, BMedSci, MRCS, Core Surgical Trainee, Breast Surgery, Peterborough City Hospital, Peterborough, UK.
2BMBS, BMedSci, MRCS, Core Surgical Trainee, Trauma & Orthopaedics, Royal London Hospital, London, UK.
3FRCS, MSc, Consultant, Breast Surgery, Peterborough City Hospital, Peterborough, UK.

Article ID: 100009Z12US2016
doi:10.5348/Z12-2016-9-CR-1

Address correspondence to:
Urpinder Singh Grewal
22 Raveley Street
London, NW5 2HU

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How to cite this article:
Grewal US, Martin A, Goh S. A case of primary breast tuberculosis at a United Kingdom district general hospital. J Case Rep Images Surg 2016;2:1–4.


Abstract
Introduction: Tuberculosis (TB) is a condition that mostly affects the lungs but any organ can be affected as a result of hematogenous spread. Although global prevalence of Mycobacterium tuberculosis has been estimated as high as 1.86 billion people; breast TB is a rare disease accounting for only 0.1% of all known breast disease. Data from the United Kingdom is limited however one survey of British-Asian woman showed that breast TB accounted for 2.3% of all notified cases of tuberculosis. Clinically and radiologically breast TB can mimic both breast carcinoma and breast abscess; which often makes it a difficult diagnosis to make.
Case Report: We present a 28-year-old Asian woman with a two-month history of an enlarging breast lump. The firm but fluctuant lump was adherent to the chest wall. MRI scan confirmed a 58-mm cystic structure deep to pectoralis muscle, and extending into the thorax. Subsequent testing revealed this to be a case of mammary tuberculosis. Although extra-pulmonary tuberculosis is uncommon; numerous cases of breast tuberculosis have been reported in South Asia. One should also be aware of other possible diagnoses such as carcinoma or sarcoma.
Conclusion: Whilst being a very rare disease, increasing migration is likely to only increase the incidence of breast TB in the UK, therefore these cases highlight the importance of recognizing breast tuberculosis as a potential differential of a breast mass.

Keywords: Breast disease, Mammary tuberculosis, Tuberculosis


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Author Contributions
Urpinder Singh Grewal – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Alexander Martin – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Steven Goh – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Urpinder Singh Grewal et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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