Hysterosalpingographic findings in women with genital tuberculosis

Background: Genital tuberculosis [TB] is an important cause of infertility in the developing countries, where hysterosalpingograply [HSG] remains an initial diagnostic procedure in the evaluation of tubal and peritoneal factors leading to infertility. Objective: The aim of this study was to determine the HSG findings of genital TB in infertile women. Materials and Methods: We retrospectively reviewed HSG findings in 20 women with genital tuberculosis. HSG was performed in these women as part of infertility wodc up over 5 years. The other diagnostic procedures used included endometrial curettage and biopsy, histological examination, culture, laparoscopy, hysteroscopy and polymerase chain reaction. Results: The mean age of the participants was 30.518 years. All women had clinical history of infertility for at least 4 years. Women presented with pelvic abdominal pain [30-35%] and menstrual disturbances [20-25%]. Reviewing 20 cases of female genital TB were encountered various presentations on HSG. Conclusion: HSG is an invaluable procedure in suggesting the diagnosis of genital TB in patients being investigated for infertility

intracystic papillary carcinoma of the breast

Intracystic carcinoma of the breast is a rare form of breast carcinoma. Among all malignant breast tumors, this lesion has an incidence of 0.2-0.5%. These neoplasms have certain characteristic imaging findings which help to differentiate these lesions from other focal breast abnormalities. This report is on the case of a 48-year-old woman with a palpable, painless lump in her right breast. Mammography demonstrated an oval well-circumscribed mass without calcification. Breast ultrasonography showed a cystic lesion with an intracystic solid component projecting from its posterior wall. Cyst aspiration revealed a hemorrhagic fluid and a suspicious cytology. Excisional biopsy revealed papillary carcinoma suggesting of intracystic papillary carcinoma

Primary breast tuberculosis mimicking carcinoma: a case report

Breast tuberculosis is considered a rare clinical entity throughout the world. It has no defined clinical manifestation. Radiological imaging is not diagnostic also. Diagnosis is based on identification of typical histological features or cultures. A 48-year old woman was admitted because of painful lump in her right breast. Her mammogram showed a lobulated mass, accompanied by swelling and retraction of the skin and nipple, suspected to be carcinoma. The diagnosis was made by histopathologic study and revealed to be tuberculosis. The tumor was excised and anti-tuberculosis drugs were commenced. Satisfactory out comes revealed during follow up. Breast tuberculosis is a rare form of extra-pulmonary tuberculosis which may presents with features of breast carcinoma. The basis of treatment is anti-tuberculosis antibiotic therapy, and conservative surgery for any residual masses or deformities