Tuberculosis of the Breast in Togo: A Series of 28 Presumed Cases
Our study aimed to describe the epidemiological, clinical and histological aspects of mammary tuberculosis in Togo. This is a descriptive cross-sectional study of breast tuberculosis for which the diagnosis was presumed on histological grounds in the pathology department (LAP) of the Lomé Tokoin uni...
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| Veröffentlicht in: | Bulletin de la Société de pathologie exotique 2017-10, Vol.110 (4), p.238-241 |
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| creator | Darré, T. Tchaou, M. N’Timon, B. Patassi, A.A. Aboubakari, A. Sonhaye, L. Bassowa, A. Amegbor, K. Napo-Koura, G. |
| description | Our study aimed to describe the epidemiological, clinical and histological aspects of mammary tuberculosis in Togo. This is a descriptive cross-sectional study of breast tuberculosis for which the diagnosis was presumed on histological grounds in the pathology department (LAP) of the Lomé Tokoin university hospital from January 1995 to December 2016 (20 years). A total of 28 presumed cases of mammary tuberculosis were identified. There were 26 women and 2 men, with an average age of 34.2 ± 0.3 years. The clinical signs were nodule (84.1%), tumefaction (75%), abscess (63.6%) and tumefaction with cutaneous fistulization (59.1%). Breast involvement was isolated in 31.8% of cases and associated with pleuropulmonary tuberculosis in 54.5% of cases. Co-infection with HIV was found in 63.9 % of cases. Histology showed inflammatory granulomas made of Langhans giant cells, epithelioid cells and lymphocytes around the foci of caseous necrosis. Thoracic radiography was abnormal in 16 patients (57.1%).Mammary tuberculosis is not rare in our country. Clinical presentation is often misleading and is a diagnostic challenge, more particularly with breast abscess or cancer. |
| doi_str_mv | 10.1007/s13149-017-0576-8 |
| format | Article |
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This is a descriptive cross-sectional study of breast tuberculosis for which the diagnosis was presumed on histological grounds in the pathology department (LAP) of the Lomé Tokoin university hospital from January 1995 to December 2016 (20 years). A total of 28 presumed cases of mammary tuberculosis were identified. There were 26 women and 2 men, with an average age of 34.2 ± 0.3 years. The clinical signs were nodule (84.1%), tumefaction (75%), abscess (63.6%) and tumefaction with cutaneous fistulization (59.1%). Breast involvement was isolated in 31.8% of cases and associated with pleuropulmonary tuberculosis in 54.5% of cases. Co-infection with HIV was found in 63.9 % of cases. Histology showed inflammatory granulomas made of Langhans giant cells, epithelioid cells and lymphocytes around the foci of caseous necrosis. Thoracic radiography was abnormal in 16 patients (57.1%).Mammary tuberculosis is not rare in our country. Clinical presentation is often misleading and is a diagnostic challenge, more particularly with breast abscess or cancer.</description><identifier>ISSN: 0037-9085</identifier><identifier>EISSN: 1961-9049</identifier><identifier>DOI: 10.1007/s13149-017-0576-8</identifier><identifier>PMID: 29019164</identifier><language>eng</language><publisher>Cachan: Lavoisier</publisher><subject>Adolescent ; Adult ; Aged ; Breast Diseases - epidemiology ; Breast Diseases - microbiology ; Breast Diseases - pathology ; Child ; Clinics ; Clinique ; Cross-Sectional Studies ; Diagnosis, Differential ; Epidemiology ; Female ; Gastroenterology ; Granuloma - epidemiology ; Granuloma - microbiology ; Granuloma - pathology ; Hospitals, University ; Humans ; Infectious Diseases ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Parasitology ; Retrospective Studies ; Togo - epidemiology ; Tropical Medicine ; Tuberculosis, Endocrine - epidemiology ; Tuberculosis, Endocrine - pathology ; Young Adult</subject><ispartof>Bulletin de la Société de pathologie exotique, 2017-10, Vol.110 (4), p.238-241</ispartof><rights>Lavoisier 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-p1698-f6a77553bf1f234f447fe81840bb3326a59a6cd7ddfe9cde68bd5d853f67180a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s13149-017-0576-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s13149-017-0576-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29019164$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Darré, T.</creatorcontrib><creatorcontrib>Tchaou, M.</creatorcontrib><creatorcontrib>N’Timon, B.</creatorcontrib><creatorcontrib>Patassi, A.A.</creatorcontrib><creatorcontrib>Aboubakari, A.</creatorcontrib><creatorcontrib>Sonhaye, L.</creatorcontrib><creatorcontrib>Bassowa, A.</creatorcontrib><creatorcontrib>Amegbor, K.</creatorcontrib><creatorcontrib>Napo-Koura, G.</creatorcontrib><title>Tuberculosis of the Breast in Togo: A Series of 28 Presumed Cases</title><title>Bulletin de la Société de pathologie exotique</title><addtitle>Bull. Soc. Pathol. Exot</addtitle><addtitle>Bull Soc Pathol Exot</addtitle><description>Our study aimed to describe the epidemiological, clinical and histological aspects of mammary tuberculosis in Togo. This is a descriptive cross-sectional study of breast tuberculosis for which the diagnosis was presumed on histological grounds in the pathology department (LAP) of the Lomé Tokoin university hospital from January 1995 to December 2016 (20 years). A total of 28 presumed cases of mammary tuberculosis were identified. There were 26 women and 2 men, with an average age of 34.2 ± 0.3 years. The clinical signs were nodule (84.1%), tumefaction (75%), abscess (63.6%) and tumefaction with cutaneous fistulization (59.1%). Breast involvement was isolated in 31.8% of cases and associated with pleuropulmonary tuberculosis in 54.5% of cases. Co-infection with HIV was found in 63.9 % of cases. Histology showed inflammatory granulomas made of Langhans giant cells, epithelioid cells and lymphocytes around the foci of caseous necrosis. Thoracic radiography was abnormal in 16 patients (57.1%).Mammary tuberculosis is not rare in our country. Clinical presentation is often misleading and is a diagnostic challenge, more particularly with breast abscess or cancer.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Breast Diseases - epidemiology</subject><subject>Breast Diseases - microbiology</subject><subject>Breast Diseases - pathology</subject><subject>Child</subject><subject>Clinics</subject><subject>Clinique</subject><subject>Cross-Sectional Studies</subject><subject>Diagnosis, Differential</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Granuloma - epidemiology</subject><subject>Granuloma - microbiology</subject><subject>Granuloma - pathology</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Parasitology</subject><subject>Retrospective Studies</subject><subject>Togo - epidemiology</subject><subject>Tropical Medicine</subject><subject>Tuberculosis, Endocrine - epidemiology</subject><subject>Tuberculosis, Endocrine - pathology</subject><subject>Young Adult</subject><issn>0037-9085</issn><issn>1961-9049</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kEtPwzAQhC0EolXpD-CCfOQS8Mbxi1upykOqBBLlbDnJuqRKk2I3B_49Li2n3dV8Gs0OIdfA7oAxdR-BQ2EyBipjQslMn5ExGAmZYYU5J2PGuEq7FiMyjXHDGAMNkO5LMsoNAwOyGJPZaigxVEPbxybS3tP9F9LHgC7uadPRVb_uH-iMfmBo8E_PNX0PGIct1nTuIsYrcuFdG3F6mhPy-bRYzV-y5dvz63y2zHYgjc68dEoJwUsPPueFLwrlUYMuWFlynksnjJNVrerao6lqlLqsRa0F91KBZo5PyO3Rdxf67wHj3m6bWGHbug77IVowInVhjJEJvTmhQ5ly2l1oti782P-3E5AfgZikbo3BbvohdCm-BWYP9dpjvTZZ2kO9VvNfettoQg</recordid><startdate>20171001</startdate><enddate>20171001</enddate><creator>Darré, T.</creator><creator>Tchaou, M.</creator><creator>N’Timon, B.</creator><creator>Patassi, A.A.</creator><creator>Aboubakari, A.</creator><creator>Sonhaye, L.</creator><creator>Bassowa, A.</creator><creator>Amegbor, K.</creator><creator>Napo-Koura, G.</creator><general>Lavoisier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20171001</creationdate><title>Tuberculosis of the Breast in Togo: A Series of 28 Presumed Cases</title><author>Darré, T. ; Tchaou, M. ; N’Timon, B. ; Patassi, A.A. ; Aboubakari, A. ; Sonhaye, L. ; Bassowa, A. ; Amegbor, K. ; Napo-Koura, G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p1698-f6a77553bf1f234f447fe81840bb3326a59a6cd7ddfe9cde68bd5d853f67180a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Breast Diseases - epidemiology</topic><topic>Breast Diseases - microbiology</topic><topic>Breast Diseases - pathology</topic><topic>Child</topic><topic>Clinics</topic><topic>Clinique</topic><topic>Cross-Sectional Studies</topic><topic>Diagnosis, Differential</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Granuloma - epidemiology</topic><topic>Granuloma - microbiology</topic><topic>Granuloma - pathology</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Infectious Diseases</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Parasitology</topic><topic>Retrospective Studies</topic><topic>Togo - epidemiology</topic><topic>Tropical Medicine</topic><topic>Tuberculosis, Endocrine - epidemiology</topic><topic>Tuberculosis, Endocrine - pathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Darré, T.</creatorcontrib><creatorcontrib>Tchaou, M.</creatorcontrib><creatorcontrib>N’Timon, B.</creatorcontrib><creatorcontrib>Patassi, A.A.</creatorcontrib><creatorcontrib>Aboubakari, A.</creatorcontrib><creatorcontrib>Sonhaye, L.</creatorcontrib><creatorcontrib>Bassowa, A.</creatorcontrib><creatorcontrib>Amegbor, K.</creatorcontrib><creatorcontrib>Napo-Koura, G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Bulletin de la Société de pathologie exotique</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Darré, T.</au><au>Tchaou, M.</au><au>N’Timon, B.</au><au>Patassi, A.A.</au><au>Aboubakari, A.</au><au>Sonhaye, L.</au><au>Bassowa, A.</au><au>Amegbor, K.</au><au>Napo-Koura, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tuberculosis of the Breast in Togo: A Series of 28 Presumed Cases</atitle><jtitle>Bulletin de la Société de pathologie exotique</jtitle><stitle>Bull. Soc. Pathol. Exot</stitle><addtitle>Bull Soc Pathol Exot</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>110</volume><issue>4</issue><spage>238</spage><epage>241</epage><pages>238-241</pages><issn>0037-9085</issn><eissn>1961-9049</eissn><abstract>Our study aimed to describe the epidemiological, clinical and histological aspects of mammary tuberculosis in Togo. This is a descriptive cross-sectional study of breast tuberculosis for which the diagnosis was presumed on histological grounds in the pathology department (LAP) of the Lomé Tokoin university hospital from January 1995 to December 2016 (20 years). A total of 28 presumed cases of mammary tuberculosis were identified. There were 26 women and 2 men, with an average age of 34.2 ± 0.3 years. The clinical signs were nodule (84.1%), tumefaction (75%), abscess (63.6%) and tumefaction with cutaneous fistulization (59.1%). Breast involvement was isolated in 31.8% of cases and associated with pleuropulmonary tuberculosis in 54.5% of cases. Co-infection with HIV was found in 63.9 % of cases. Histology showed inflammatory granulomas made of Langhans giant cells, epithelioid cells and lymphocytes around the foci of caseous necrosis. Thoracic radiography was abnormal in 16 patients (57.1%).Mammary tuberculosis is not rare in our country. Clinical presentation is often misleading and is a diagnostic challenge, more particularly with breast abscess or cancer.</abstract><cop>Cachan</cop><pub>Lavoisier</pub><pmid>29019164</pmid><doi>10.1007/s13149-017-0576-8</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Breast Diseases - epidemiology Breast Diseases - microbiology Breast Diseases - pathology Child Clinics Clinique Cross-Sectional Studies Diagnosis, Differential Epidemiology Female Gastroenterology Granuloma - epidemiology Granuloma - microbiology Granuloma - pathology Hospitals, University Humans Infectious Diseases Internal Medicine Male Medicine Medicine & Public Health Middle Aged Parasitology Retrospective Studies Togo - epidemiology Tropical Medicine Tuberculosis, Endocrine - epidemiology Tuberculosis, Endocrine - pathology Young Adult |
| title | Tuberculosis of the Breast in Togo: A Series of 28 Presumed Cases |
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