Journal of Cytology
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CASE REPORT
Year : 2004  |  Volume : 21  |  Issue : 3  |  Page : 149-151

A case of bilateral tuberculous mastitis


1 Associate Professor, Departments of Surgery, Pathology and Microbiology, Goa Medical College, Bambolim - Goa - India 403 202, India
2 Professor, Departments of Surgery, Pathology and Microbiology, Goa Medical College, Bambolim - Goa - India 403 202, India
3 Junior Resident, Departments of Surgery, Pathology and Microbiology, Goa Medical College, Bambolim - Goa - India 403 202, India

Correspondence Address:
G Barreto
4-B/6 Pelican Apts., Fr. Agneto Road, Panjim, Goa - 403 001
India
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Source of Support: None, Conflict of Interest: None


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A 29-year-old, non-pregnant, non-lactating female, presented with bilateral painful breast masses. The patient had no history of tuberculosis in the past nor did any of her relatives. Clinical examination revealed tender deep-seated lumps in both breasts. Fine needle aspiration of the lumps was reported as granulomatous mastitis. The patient had an elevated ESR. The chest X-ray was normal, and IgM and IgG ELISA for tuberculosis were negative. Subsequent surgical drainage of the lumps revealed abscesses containing pus and necrotic material, which extended into the retromammary spaces. Culture of the pus from the abscesses showed exuberant growth of mycobacterium tuberculosis on Lowenstein Jensen medium on three successive occasions. The biopsy of the abscess wall showed multiple granulomas in the breast tissue with langhans giant cells, epitheloid cells and lymphocytes.


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