Breast Tuberculosis - Experience of Cases in a Tertiary Care Institute.

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dc.contributor.authorRaza, Mohd Arshad
dc.contributor.authorMukherjee, Sujoy
dc.contributor.authorMohan, Manjul
dc.contributor.authorMohan, Nitesh
dc.contributor.authorZahid, Mohamamd
dc.date.accessioned2016-10-21T11:42:14Z
dc.date.available2016-10-21T11:42:14Z
dc.date.issued2016-07
dc.description.abstractAim: The study was conducted with an aim to suspect and diagnose “breast tuberculosis (TB)” cases early to avoid unnecessary delay in their treatment. Materials and Methods: For this purpose, the cases of breast complaints presenting in the Department of Surgery were clinically examined, investigated with fine-needle aspiration cytology (FNAC) or biopsy along with other relevant investigations. FNAC or biopsy positive for breast TB cases were further investigated by chest X-ray and/or sputum acid-fast bacilli for any evidence of pulmonary TB. Results: A total of 9 cases of breast TB were collected. Out of these 9 cases, 7 cases were adult females in the age group of 24-40 years. Cases 1, 2, 5, 6, and 9 were non-lactating, while Cases 3 and 7 were lactating. Case 4 was a 12-year-old girl and Case 8 was 25-year-old male. All the cases were involving the right breast except Case 5, which was involving both breasts, and Case 6, which was involving left breast. Case 5 was also having active pulmonary TB. Case 7 was showing Ziehl-Neelsen staining positive for AFB in breast tissue sample. We treated all cases with first-line four drugs (HRZE) for initial 2 months and two drugs (HR) for another 4 months except in Cases 1 and 5 where the continuation phase was extended to 6 months. Conclusion: Histopathological diagnosis is a more reliable and accurate as compared to the bacteriological diagnosis of tubercular mastitis. Four drugs therapy for 6 months is adequate. The majority of the cases will heal without major surgery, and mastectomy should be reserved for extensive breast destruction and unresponsive cases.en_US
dc.identifier.citationRaza Mohd Arshad, Mukherjee Sujoy, Mohan Manjul, Mohan Nitesh, Zahid Mohamamd. Breast Tuberculosis - Experience of Cases in a Tertiary Care Institute. IJSS Journal of Surgery 2016 July-Aug; 2(4): 1-7.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/177999
dc.language.isoenen_US
dc.source.urihttps://surgeryijss.com/backIssue.aspx?id=121&volume=2&issue=4&type=2en_US
dc.subjectAntituberculous therapyen_US
dc.subjectBreast tuberculosisen_US
dc.subjectExtra-pulmonary tuberculosisen_US
dc.subjectTubercular mastitisen_US
dc.titleBreast Tuberculosis - Experience of Cases in a Tertiary Care Institute.en_US
dc.typeArticleen_US
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