Imaging of Breast Tuberculosis, About Clinical Case and Literature Review

Abstract

Breast tuberculosis is a rare site of extrapulmonary tuberculosis , which affects young women during periods of genital activity. More often than not, it appears to be primitive.  It is also considered to be a cancerous lesion with diagnostic and therapeutic problems.  The diagnosis can only be made if the histopathological examination made by breast microbiopsy which highlights the classic appearance of epithelioid granuloma with caseous necrosis or by the demonstration of Mycobacterium in bacteriological study. The basis of current treatment is based on anti-tuberculosis chemotherapy, sometimes combined with Surgery. We report a case of breast tuberculosis in a 42-year-old patient to raise the problem of diagnosis that it raises. The diagnosis could only be made on histology. The evolution was favourable, mainly under antibacillary treatment. Through the data of the literature we recall the radiological, epidemiological, clinical and therapeutic particularities of this condition.

Keywords:  Extrapulmonary tuberculosis; Breast; mammography, ultrasound, biopsy.