Combination of TB lymphadenitis and metastatic LAP in breast cancer

AUTHORS

Abdolhassan Talaiezadeh 1 , * , Nematollah Jazayeri 2 , Zahra Joriz 3 , Marzieh Tofigh 3

1 Department of Surgery, School of Medicine, Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Department of Pathology, School of Medicine, Jundishapur University of Medical Sciences, Ahvaz, Iran

3 School of Medicine, Jundishapur University of Medical Sciences, Ahvaz, Iran

How to Cite: Talaiezadeh A, Jazayeri N, Joriz Z, Tofigh M. Combination of TB lymphadenitis and metastatic LAP in breast cancer, J Kermanshah Univ Med Sci. 2015 ; 19(3):e69879. doi: 10.22110/jkums.v19i3.1546.

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 19 (3); e69879
Published Online: July 19, 2015
Article Type: Case Report
Received: March 10, 2015
Accepted: July 07, 2015
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Abstract

Tuberculosis (TB) may present as pulmonary and extra-pulmonary.  TB lymphadenitis is the most common presentation of extra-pulmonary TB. TB lymphadenitis should be taken into account in the differential diagnosis of different disorders such as metastatic lymphadenopathy. The reported patient was a 65-year-old lady with breast cancer and conglomerated and matted axillary lymphadenopathy who received chemotherapy. She presented with more extensive axillary LAP contrary to our expectation. Modified radical mastectomy was done and pathology analysis reported TB lymphadenitis associated with metastatic LAP. Under cover of anti-TB therapy adjuvant chemoradiation therapy was started.

Accordingly, we recommend TB be ruled out in every patient who needs chemotherapy in the endemic region because chemotherapy may cause the extension of TB in the body.

Keywords

breast cancer metastasis TB lymphadenopathy

© 2015, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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