Combination of TB lymphadenitis and metastatic LAP in breast cancer

authors:

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

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

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.

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