Abstract

MAMMARY TUBERCULOSIS ABOUT A CASE AND REVIEW OF THE LITERATURE

Mamadou Alpha Balde*, Indami Davide Bedansanta, Benali Saad, Guelzim Khalid, El Hassani El Mehdi, Baba Habib Moulay Abdellah and Kouach Jaouad

.

Abstract

Breast tuberculosis is a rare pathology, it ranks last among extrapulmonary localizations but its incidence remains considerable since the resurgence of HIV infection. The profile of the woman carrying this disease is that of the young woman in period of reproductive activity, multiparous and of low socio-economic level. The most frequent form seems to be the primary form. The appearance of breast swelling is the most frequent mode of revelation and reason for consultation. Clinically, it is a single tumor, unilateral, firm, painless, irregular, mobile in both planes sitting in the outer quadrants +/- associated with ipsilateral axillary ADPs raising suspicion of carcinoma. General signs (fever, weight loss, sweating) are rarely found. On mammography, it appears in 3 forms: the nodular, diffuse, and sclerosing form. On ultrasound, it is most often a poorly delineated heterogeneous hypoechoic image with minimal posterior enhancement. The diagnostic confirmation remains histological by the demonstration of an epitheliogiganto- cellular granuloma with caseous necrosis. D favorable outcome under wellconducted anti-bacillary treatment for a sufficient duration; prevention remains very important and calls for BCG vaccination, treatment of all diagnosed cases.

Keywords: Breasts; Koch's bacillus; Granulomatosis; Caseous necrosis; Anti-bacillary.