# Case Reports: Presumable tuberculous mastitis-like

## TL;DR

This paper presents 15 cases of women with confirmed or presumed tuberculous mastitis, highlighting the challenges in diagnosis and treatment.

## Contribution

The study emphasizes the importance of considering presumptive tuberculous mastitis based on clinical and radiological suspicion.

## Key findings

- 4% of cases were confirmed tuberculous mastitis, and 8% were presumed tuberculous mastitis.
- There were no significant differences between confirmed and presumed cases except for follow-up and treatment duration.
- P-TM should be considered when clinical and radiological signs suggest it.

## Abstract

Tuberculous mastitis (TM) is a rare cause of breast disease. The test sensitivity
for TM is low and sometimes characterized by idiopathic granulomatous mastitis.
Both have different treatments; however, many patients are treated with
presumptive TM (P-TM). We present fifteen women with confirmed TM or P-TM. We
found 4% (5/124) of TM and 8% (10/124) of P-TM, grouped according to their
diagnosis, with no differences between them, except for follow-up and treatment
time. P-TM is an entity that must be considered based on clinical and
radiological suspicion and is associated with presumptive pathological data.