Surgical management of breast tuberculosis: Diagnostic and therapeutic approach

Marinopoulos S1, Gatzionis T1, Papaspyrou I2, Dimitrakakis C1, Antsaklis A1

1Breast Unit, 1st Department of Obstetrics and Gynecology, University of Athens, Medical School, Alexandra hospital
2Department of Pathology, Alexandra hospital, Athens, Greece

Correspondence: Marinopoulos Spyros, Breast Unit, 1st Department of Obstetrics & Gynecology, University of Athens, Medical School, Alexandra hospital, GR-115 28 Athens, Greece. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.


Mammary (breast) tuberculosis is a rare manifestation of extra-pulmonary disease, which accounts for less than 0.1% of breast diseases in developed countries, but reaches 3-4% in endemic areas (India, Africa). It mostly appears in women of reproductive age, multiparous or lactating. It has been scarcely reported to infect male patients, mainly before puberty, as well as women of older age. The most common presentation is that of a tumor, in the middle or upper-outer quadrant of the breast, with multifocal involvement being rarely documented. The differential diagnosis includes breast cancer and breast abscess. We report a case of breast tuberculosis that was treated in the Breast Unit of our hospital. Differential diagnosis, surgical treatment, histological verification of the disease and further therapeutic management are described.

Keywords: tuberculosis, breast, surgical treatment

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