| Title | Tubercular mastitis in men: case report and systematic review. | | Author(s) | Rajagopala S, Agarwal R | | Institution | Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India. visitsrinivasan@gmail.com | | Source | Am J Med 2008 Jun; 121(6):539-44. | | MeSH | Adolescent
Adult
Aged
Aged, 80 and over
Antitubercular Agents
Biopsy, Fine-Needle
Gynecomastia
Humans
Male
Mastitis
Middle Aged
Treatment Outcome
Tuberculosis
| | Abstract | BACKGROUND: Tuberculous mastitis is usually reported in multiparous postpartum women and is an unusual cause of gynecomastia in adolescent men.
METHODS: We describe an illustrative case and review all cases of tubercular mastitis reported in men in the English literature.
RESULTS: Our search yielded 24 cases of male tubercular mastitis. Most presented with an isolated breast lump. Constitutional symptoms were rare (21.4%), and associated tuberculosis foci, mostly inactive, were seen in 43.8%. Breast parenchymal involvement, chest wall masses, pectoral muscle abscesses, cold abscesses tracking through the chest wall, and empyema necessitatis presented as breast lumps. Fine-needle aspiration cytology was the most common diagnostic modality, and acid-fast bacilli were demonstrable in a minority (33%). A combination of granulomatous mastitis, necrosis, and clinical response to antitubercular therapy was the most common mode of establishing the diagnosis. Most patients responded to antitubercular therapy alone.
CONCLUSION: Tubercular mastitis is a rare cause of breast masses in men, and a high index of suspicion can prevent diagnostic delays. Most patients respond to antitubercular therapy alone. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
Review
| | PubMed ID | 18501237 |
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