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MAMMARY TUBERCULOSIS: ANALYSIS OF THIRTY‐EIGHT PATIENTS
Author(s) -
Harris Syed H.,
Khan Mohd. A.,
Khan Roobina,
Haque Faisal,
Syed Anjum,
Ansari Maulana M.
Publication year - 2006
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2006.03692.x
Subject(s) - medicine , tuberculosis , surgery , axillary lymph nodes , presentation (obstetrics) , refractory (planetary science) , breast cancer , axilla , cancer , pathology , physics , astrobiology
Thirty‐eight patients with mammary gland tuberculosis were evaluated over a 5‐year period presenting to the surgical unit of our institution. Unilateral involvement of the breast in a woman presenting at an average age of 29 years was the commonest observation. A lump in the breast with or without discharging sinuses was the most common clinical presentation. Ten (26%) of these patients had breast pain with or without increased breast nodularity. Axillary lymph nodal involvement was evident in 14 (36%) of our patients. Only five patients had associated pulmonary tuberculosis, the rest having an isolated involvement of the breast. Fine‐needle aspiration cytology was the most reliable diagnostic modality. Medical therapy with antitubercular drugs ranging from 6 to 9 months was the mainstay of treatment. Surgical intervention was reserved for selected refractory cases.