Breast tuberculosis presenting with intractable mastitis: a case report

Journal of Medical Case Reports

Masako Sakuragi¹  Masami Matsumura²  Yuka Sagara²  Shuji Hatakeyama²  Ayako Kumabe² 

[1] Division of Breast Surgery, Jichi Medical University Hospital;Division of General Internal Medicine, Jichi Medical University Hospital;

关键词: Breast tuberculosis;    Tuberculous mastitis;    Breast cancer;    Fistula;    Sternal osteomyelitis;   

DOI  :  10.1186/s13256-021-02712-w

来源: DOAJ

【 摘 要 】

Abstract Background Breast tuberculosis, also known as tuberculous mastitis, is an extremely rare form of tuberculosis. It accounts for <0.1% of all breast diseases and <2% of all cases of tuberculosis. It is often misdiagnosed as breast cancer, which can potentially lead to a delayed diagnosis. Case presentation A 69-year-old Japanese woman presented with a tumor-mimicking lesion in her right breast, followed by intractable mastitis with a fistula formation. The time until the correct diagnosis of tuberculosis of the breast and sternal bone was 14 months. Conclusions Although rare, it is important to recognize that tuberculous mastitis can present as refractory abscesses/mastitis or mass lesions that mimic carcinomas in women of reproductive age and elderly people. Breast tuberculosis should always be considered in the differential diagnoses, particularly in patients with a history of tuberculosis and those living in areas where tuberculosis is endemic.

【 授权许可】

Unknown