Tubercular Mastitis is Common in Garhwal
Region of Uttarakhand: Clinico athological
Features of 14 Cases
1569-1573
Correspondence
Deepa Hatwal
Assistant professor pathology
VCGGMS & RI Uttrakhand
C/o Dr S.K. Hatwal, Health Care Centre
Upper Bazar, Srinagar Garhwal
Phone : 01346- 253501
E-mail: dhatwal@yahoo.com
The incidence of breast tuberculosis is not uncommon but there is gross under reporting of such an important disease. It presents with mimics of breast abscess, fibrocystic disease and breast cancer. Breast tuberculosis has been rarely reported from Garhwal region of Uttrakhand. Breast tuberculosis has no well defined clinical features and apart from breast lump, vague complain of generalized weakness,maliase and low grade fever is non-specific presentation. Radiological imaging is not diagnostic. Diagnosis is based on the identification of cytological and histopathological findings of tubercular granuloma and identification of tubercle bacilli either under microscope or by culture. Anti-tubercular therapy for 6 months with minimal surgical intervention is the mainstay of treatment today. The risk factors include multiparity,malnutrition, lactation, trauma, past history of suppurative mastitis, immunocompromised state, drug abuse and emergence of AIDS. In this study we detected 14 cases of breast tuberculosis in 1 year duration that shows tuberculosis of breast is common in Garhwal region of Uttarakhand.