Diagnostic dilemma of chest wall tuberculosis masquerading breast lump and sarcoma/ Nik Aminah Nik Abdul Kadir ... [et al.]

Nik Abdul Kadir, Nik Aminah and Ariffin, Farnaza and Mohamad Ali, Norliana Dalila and Abdul Aziz, Mardiana (2023) Diagnostic dilemma of chest wall tuberculosis masquerading breast lump and sarcoma/ Nik Aminah Nik Abdul Kadir ... [et al.]. Journal of Clinical and Health Sciences (JCHS), 8 (1). pp. 82-86. ISSN 0127-984X

Abstract

Chest wall tuberculosis (TB) is rare and can often masquerade as a tumour. Diagnostic confirmation is made by bacteriological findings of acid-fast bacilli and culture of Mycobacterium tuberculosis or histopathological findings. This is a 37-year-old immunocompetent lady who presented with a 3-month history of gradually increasing right breast lump with suspicious characteristics during clinical examinations. Ultrasound of the breast showed normal breast tissue with a well-defined hypoechoic lesion within the anterior inferior pectoralis muscle. CT scan of the thorax revealed a right anterior chest wall lesion with multiple lung nodules and consolidations. Thus, there was a high suspicion of chest wall tumour and an initial diagnosis of soft tissue sarcoma was made. Biopsy of the lesion showed necrotising granulomatous inflammation but no acid-fast bacilli. A revised diagnosis of chest wall tuberculosis was made. She attended follow-up complaining of shortness of breath and pleuritic chest pain with signs of right pleural effusion. Her symptoms improved after the initiation of anti-TB treatment. This case demonstrated the challenge in making an early diagnosis of chest wall TB and commencement of anti-TB treatment.

Metadata

Item Type: Article
Creators:
Creators
Email / ID Num.
Nik Abdul Kadir, Nik Aminah
UNSPECIFIED
Ariffin, Farnaza
farnaza@uitm.edu.my
Mohamad Ali, Norliana Dalila
UNSPECIFIED
Abdul Aziz, Mardiana
UNSPECIFIED
Subjects: R Medicine > RA Public aspects of medicine > Medical care
R Medicine > RC Internal Medicine > Neoplasms. Tumors. Oncology > Soft tissue tumors > Breast. Mammary glands
R Medicine > RG Gynecology and obstetrics > Diseases of the breast
Divisions: Universiti Teknologi MARA, Selangor > Sungai Buloh Campus > Faculty of Medicine
Journal or Publication Title: Journal of Clinical and Health Sciences (JCHS)
UiTM Journal Collections: UiTM Journal > Journal of Clinical and Health Sciences (JCHS)
ISSN: 0127-984X
Volume: 8
Number: 1
Page Range: pp. 82-86
Keywords: Tuberculosis, chest tuberculosis, musculoskeletal tuberculosis, chest wall tumour
Date: March 2023
URI: https://ir.uitm.edu.my/id/eprint/74311
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