Radio-cytological diagnosis of nodulocaseous tubercular lymphadenitis: a clinical dilemma
Keywords:
Tubercular lymphadenitis, Ultrasound, FNAC, BreastAbstract
Nodulocaseous tubercular lymphadenitis is a rare entity presenting with ill-defined breast lump, accompanied by non-specific systemic presentation. We present a case report of a young female patient presenting with breast lump and no definitive clinical diagnosis. The radiological investigation like ultrasound breast revealed multiple enlarged nodulocaseous lymph nodes in all four quadrants of breast. The presence of epitheloid cell granuloma with necrosis on fine needle aspiration cytology established primary diagnosis of intramammary tubercular lymphadenitis.
Nodulocaseous tubercular lymphadenitis breast often presents with atypical presentation and primary diagnosis is often difficult to establish. The case establishes the role of ultrasound breast and fine needle aspiration cytology being rapid and cost effective way of diagnosing this lesion.References
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2. Al-Marri MR, Almosleh A, Almoslmani Y. Pri-mary tuberculosis of the breast in Qatar: ten year experience and review of the literature. Eur J Surg. 2000;166:687-90.
3. Dharkar RS, Kanhere MH, Vaishya ND, Baisarya AK. Tuberculosis of the breast. J Indian Med Assoc. 1968;50:207-9.
4. Mukerjee P, George M, Maheshwari HB, Rao CP. Tuberculosis of the breast. J Indian Med Assoc. 1974;62:410-2.
5. Green RM, Ormerod LP. Mammary tuberculosis: rare but still present in the United Kingdom. Int J Tuberc Lung Dis. 2000;4:788-90.
6. Sehgal S, Goyal P, Ghosh S, Mittal D, Singh S. Malignancy and Granulomatosis: Causality or Coincidence? Narrative Systematic Review. Ira-nian Journal of Pathology. 2014;9: 237-244
7. Mckeown KC, Wilkinson KW. Tuberculous dis-eases of the breast. Br J Surg. 1952;39:420.
8. Vassilakos P. Tuberculosis of the breast: cyto-logical findings with fine-needle aspiration. A case clinically and radiologically mimicking car-cinoma. Acta Cytol. 1973;17:160-5.
9. Alagaratnam TT, Ong GB. Tuberculosis of the breast. Br J Surg.1980;67:125-6.
10. Shukla HS, Kumar S. Benign breast disorders in nonwestern populations: Part II - Benign breast disorders in India. World J Surg.1989;13:746-9.
11. Shukla HS, Tewari M. Breast tuberculosis: diag-nosis, clinical features & management. Indian J Med Res. 2005;122:103-10.
12. Popli MB. Pictorial essay: tuberculosis of the breast. Indian J Radiol Imag.1999;9:127-32.
13. Kakkar S, Kapila K, Singh MK, Verma K. Tu-berculosis of the breast. A cytomorphologic study. Acta Cytol.2000;44:292-6.
14. Pagel W, Simmonds FAH, Macdonald J, Nassan E. Pulmonary Tuberculosis, 4th edition. London: Oxford University Press; 1964. p. 245.
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30-01-2015
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Kaushik A, Arora D, Kolte S, Gupta K, Mandal AK. Radio-cytological diagnosis of nodulocaseous tubercular lymphadenitis: a clinical dilemma. Ann of Pathol and Lab Med [Internet]. 2015 Jan. 30 [cited 2024 Dec. 23];2(1):C35-C37. Available from: https://pacificejournals.com/journal/index.php/apalm/article/view/56
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Copyright (c) 2015 Ankit Kaushik, Disha Arora, Sachin Kolte, Kusum Gupta, A K Mandal
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