Synchronous existence of Carcinoma and Tuberculosis in same breast: A case report of rare diagnostic dilemma

Dr. Namita Goyal; Dr. Deepika Gupta

Volume : IX, Issue : VIII, August - 2020

Synchronous existence of Carcinoma and Tuberculosis in same breast: A case report of rare diagnostic dilemma

Dr. Namita Goyal, Dr. Deepika Gupta

Abstract :

Coexistence of tuberculosis and east cancer is rare but their existence in same east is even rarer. Occurrence of east cancer with axillary lymphadenopathy needs cautious diagnosis, as important management decisions are based on it, over–diagnosis may lead to extensive undesirable surgery. Since both, these lesions have different natural history, their coexistence poses a diagnostic dilemma to both surgeon and pathologist. Herein we report a case of 60–year–old female who presented with complaint of progressively increasing lump in east over a duration of one year, without any remarkable systemic complaints and no history of previous exposure to tuberculosis. Patient underwent MRM and histopathology confirmed the diagnosis of Invasive Ductal Carcinoma – Medullary variant associated with tuberculosis in right east with axillary lymph nodes showing tubercular granulomas without evidence of metastatic east cancer. To our knowledge this is the first case to be reported in Rajasthan. In Indian scenario <5 and worldwide <100 cases are reported. Awareness of such dual pathology is important for early diagnosis and management, particularly in endemic regions of tuberculosis (t.b).