TUBERCULOSIS OF THE BREAST – DIAGNOSIS, MANAGEMENT, AND TREATMENTAbstract
Tuberculosis is caused by Mycobacterium tuberculosis and affects primarily the lungs. Breast tissue is remarkably resistant to tuberculosis. This is due to fact that it gives infertile environment for survival and multiplication of tubercle bacilli like skeletal muscle and spleen. The breast may become infected by variety of ways e.g. haematogenous, lymphatic, spread from contiguous structures, direct inoculation and ductal infection. The path of spread of disease from lungs to breast tissue was traced via trachea-bronchial, Para tracheal, mediastinal lymph trunk and internal mammary nodes. Scrofulous swelling of the bosom is the description given by Sir Astley Cooper who recorded first ever Breast Tuberculosis. It is usually seen in lactating young multiparous women and presents as lump in the central or upper outer quadrant of breast. It is occasionally mistaken as Carcinoma Breast or Breast Abscess. The overall incidence of tuberculosis Mastitis is reported to be 0.1 % of all breast lesions while in developing countries it constituted approximately 3.0 % of surgically treated breast disease.
N. A. Shibli*
Department of Surgery, Prince Mutaib Bin Abdulaziz Hospital, Sakaka, Aljouf Region, Saudi Arabia
06 February, 2017
21 April, 2017
27 May, 2017
01 September, 2017