From Plasmacytoma to Rib Tuberculosis: The Case of A Breast Mass With An Unexpected Diagnosis
Tuberculosis (TB) of the rib is an uncommon manifestation of extrapulmonary TB that can pose significant diagnostic challenges, especially when presenting as a breast mass. We report the case of a 74-year-old woman who presented with a left breast lump, initially suspected to be a plasmacytoma due t...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2025-01-01
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| Series: | European Journal of Breast Health |
| Subjects: | |
| Online Access: | https://www.eurjbreasthealth.com/articles/from-plasmacytoma-to-rib-tuberculosis-the-case-of-a-breast-mass-with-an-unexpected-diagnosis/doi/ejbh.galenos.2024.2024-10-6 |
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| author | Hafedh Abbassi Badra Bannour Sarra Yacoub Ekram Guerbej Imen Bannour Samir Hidar Moncef Mokni |
| author_facet | Hafedh Abbassi Badra Bannour Sarra Yacoub Ekram Guerbej Imen Bannour Samir Hidar Moncef Mokni |
| author_sort | Hafedh Abbassi |
| collection | DOAJ |
| description | Tuberculosis (TB) of the rib is an uncommon manifestation of extrapulmonary TB that can pose significant diagnostic challenges, especially when presenting as a breast mass. We report the case of a 74-year-old woman who presented with a left breast lump, initially suspected to be a plasmacytoma due to its imaging characteristics and clinical history. The mass was surgically excised, and histopathological analysis revealed granulomatous inflammation with caseous necrosis, suggesting TB. TB-polymerase chain reaction confirmed the diagnosis, despite negative Ziehl-Neelsen staining. The patient was treated with anti-tubercular therapy for twelve months, resulting in a favorable clinical outcome. This case highlights the importance of considering rib TB in the differential diagnosis of breast masses, particularly in endemic areas, and underscores the role of comprehensive diagnostic evaluations for timely and effective treatment. |
| format | Article |
| id | doaj-art-f33d75aa46f9478eace50c5b048779b8 |
| institution | Kabale University |
| issn | 2587-0831 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | European Journal of Breast Health |
| spelling | doaj-art-f33d75aa46f9478eace50c5b048779b82025-01-07T11:09:32ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312025-01-01211858910.4274/ejbh.galenos.2024.2024-10-6From Plasmacytoma to Rib Tuberculosis: The Case of A Breast Mass With An Unexpected DiagnosisHafedh Abbassi0https://orcid.org/0000-0002-3547-1297Badra Bannour1https://orcid.org/0000-0003-3126-2233Sarra Yacoub2https://orcid.org/0009-0008-1987-6121Ekram Guerbej3https://orcid.org/0009-0007-2192-2476Imen Bannour4https://orcid.org/0009-0009-4497-6172Samir Hidar5https://orcid.org/0000-0002-1267-3451Moncef Mokni6https://orcid.org/0000-0002-1357-9870Department of Obstetrics and Gynecology, University of Sousse Faculty of Medicine of Sousse, Farhat Hached Teaching Hospital, Sousse, TunisiaDepartment of Obstetrics and Gynecology, University of Sousse Faculty of Medicine of Sousse, Farhat Hached Teaching Hospital, Sousse, TunisiaDepartment of Pathology, University of Sousse Faculty of Medicine of Sousse, Farhat Hached Teaching Hospital, Sousse, TunisiaDepartment of Obstetrics and Gynecology, University of Sousse Faculty of Medicine of Sousse, Farhat Hached Teaching Hospital, Sousse, TunisiaDepartment of Obstetrics and Gynecology, University of Sousse Faculty of Medicine of Sousse, Farhat Hached Teaching Hospital, Sousse, TunisiaDepartment of Obstetrics and Gynecology, University of Sousse Faculty of Medicine of Sousse, Farhat Hached Teaching Hospital, Sousse, TunisiaDepartment of Pathology, University of Sousse Faculty of Medicine of Sousse, Farhat Hached Teaching Hospital, Sousse, TunisiaTuberculosis (TB) of the rib is an uncommon manifestation of extrapulmonary TB that can pose significant diagnostic challenges, especially when presenting as a breast mass. We report the case of a 74-year-old woman who presented with a left breast lump, initially suspected to be a plasmacytoma due to its imaging characteristics and clinical history. The mass was surgically excised, and histopathological analysis revealed granulomatous inflammation with caseous necrosis, suggesting TB. TB-polymerase chain reaction confirmed the diagnosis, despite negative Ziehl-Neelsen staining. The patient was treated with anti-tubercular therapy for twelve months, resulting in a favorable clinical outcome. This case highlights the importance of considering rib TB in the differential diagnosis of breast masses, particularly in endemic areas, and underscores the role of comprehensive diagnostic evaluations for timely and effective treatment.https://www.eurjbreasthealth.com/articles/from-plasmacytoma-to-rib-tuberculosis-the-case-of-a-breast-mass-with-an-unexpected-diagnosis/doi/ejbh.galenos.2024.2024-10-6breast diseaseplasmocytomasurgerytuberculosis |
| spellingShingle | Hafedh Abbassi Badra Bannour Sarra Yacoub Ekram Guerbej Imen Bannour Samir Hidar Moncef Mokni From Plasmacytoma to Rib Tuberculosis: The Case of A Breast Mass With An Unexpected Diagnosis European Journal of Breast Health breast disease plasmocytoma surgery tuberculosis |
| title | From Plasmacytoma to Rib Tuberculosis: The Case of A Breast Mass With An Unexpected Diagnosis |
| title_full | From Plasmacytoma to Rib Tuberculosis: The Case of A Breast Mass With An Unexpected Diagnosis |
| title_fullStr | From Plasmacytoma to Rib Tuberculosis: The Case of A Breast Mass With An Unexpected Diagnosis |
| title_full_unstemmed | From Plasmacytoma to Rib Tuberculosis: The Case of A Breast Mass With An Unexpected Diagnosis |
| title_short | From Plasmacytoma to Rib Tuberculosis: The Case of A Breast Mass With An Unexpected Diagnosis |
| title_sort | from plasmacytoma to rib tuberculosis the case of a breast mass with an unexpected diagnosis |
| topic | breast disease plasmocytoma surgery tuberculosis |
| url | https://www.eurjbreasthealth.com/articles/from-plasmacytoma-to-rib-tuberculosis-the-case-of-a-breast-mass-with-an-unexpected-diagnosis/doi/ejbh.galenos.2024.2024-10-6 |
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