Bilateral mammary tuberculosis associated with a borderline ovarian tumor

Joachim van Keirsbilck, Ine Riphagen, Hans Struyven, Andre van den Eeckhout, Ann Cornelis, Patrick Neven, Frederic Amant, Ignace Vergote

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Background: Mammary tuberculosis is rare in the Western world. It has no defined clinical or imaging features, and has to be differentiated from breast cancer and an abscess. Case Report: We present a case of mammary tuberculosis combined with borderline ovarian cancer. The bilateral breast tuberculosis was the first and only symptom of underlying tuberculosis with Ziehl-Neelsen-positive para-aortic lymph nodes. During further exploration, an asymptomatic pelvic mass was discovered, which appeared later to be a borderline ovarian tumor. The patient was treated with tuberculostatic therapy for 6 months, resulting in a complete regression of the breast lesions. She also underwent hysterectomy with bilateral salpingo-oophorectomy and lymph node dissection for her ovarian cancer. Conclusions: This case report emphasizes that breast tuberculosis should be included in the differential diagnosis of any atypical breast mass
Original languageEnglish
Pages (from-to)200-203
JournalBreast care (Basel, Switzerland)
Issue number3
Publication statusPublished - 2008

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