Short reports and correspondence| Volume 60, ISSUE 10, P1162-1163, October 2007

Cutaneous Mycobacterium fortuitum complicating breast reconstruction

Published:March 12, 2007DOI:
      In August 1992, a 44-year-old woman presented with right-sided positive axillary nodes from an occult metastatic breast cancer. She underwent right axillary block dissection, laparoscopic oopherectomy and commenced on tamoxifen. The tumour became radiographically apparent 2 years later and was treated with wide local excision and local radiotherapy to the breast. In 1996, the contralateral axillary nodes were found to have breast metastases. Once more, no breast lesion was detectable. Left-sided clearance produced one node positive for metastatic adenocarcinoma and one node which showed epithelioid granulomata with focal caseous necrosis. Acid fast bacilli were not seen. Although tuberculosis was considered, a granulomatous reaction to tumour was felt most likely.
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