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- T H P Teo, G H Ho, A Chaturverdi, and B K J Khoo.
- Department of Oncologic Imaging, National Cancer Centre Singapore, 11 Hospital Drive, Singapore 169610. thteo76@gmail.com
- Singap Med J. 2009 Mar 1; 50 (3): e97-9.
AbstractA 33-year-old woman presented with a painless right breast lump of four weeks' duration. There were no symptoms such as fever or night sweats. Mammogram revealed an elliptical lesion in the retromammary region. Ultrasonography showed a hypoechoeic collection deep in the right breast. As the lesion was localised to the chest wall, computed tomography of the thorax was performed. This confirmed a fluid collection in the right anterior chest wall and also bilateral upper lobe consolidations, suggestive of pulmonary tuberculosis with an abscess in the anterior chest wall. Ultrasound-guided core needle biopsy confirmed a Mycobacterium tuberculosis infection. It is unusual for a tuberculous abscess of the chest wall to present as a painless breast lump. We also present a companion case of tuberculous mastitis to illustrate their distinct imaging features.
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