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A lecturer at the Faculty of Medicine reports a rare case in an American surgical journal

June 04, 2017

The lecturer at the Faculty of Medicine Dr.Samer Alhakkak has reported a rare case in the American Journal of Surgery.


Separated Axillary Tuberculous Lymphadenitis: A Case Report


Journal of Surgery 
Volume 5, Issue 2, April 2017, Pages: 18-21 
Received: Mar. 3, 2017; Accepted: Mar. 14, 2017; Published: Mar. 27, 2017



Samer Makki Mohamed Al-Hakkak, Department of Surgery, Faculty of Medicine, Jabir Ibn Hayyan Medical University, Najaf City, Iraq




Tuberculosis (TB) still accounts for a high burden disease. It has been estimated that one third of the world population is infected with Mycobacterium tuberculosis, the most residing in developing countries. Separated axillary tuberculous lymphadenopathy is rare and described in patients without proof of previous or outstanding tuberculosis anywhere in the body. TB was supposed to be considered in the differential diagnosis of patients who present with axillary lymphadenopathy, especially in the endemic areas of Tuberculosis. Ultrasonography features of the axillary lymph node in our patient were not as helpful in diagnosis as the biopsy of the lymph node. Axillary tuberculous lymphadenitis diagnosis depends on the complete pathological examination. It remains both diagnostic and therapeutic challenge because it mimics other pathologic processes and yields inconsistent physical and laboratory findings. Diagnosis is difficult often requiring biopsy.




Separated, Axillary Lymphadenopathy, Tuberculosis, Ultrasound, Biopsy






To cite this article


Samer Makki Mohamed Al-Hakkak, Separated Axillary Tuberculous Lymphadenitis: A Case Report, Journal of Surgery. Vol. 5, No. 2, 2017, pp. 18-21. doi: 10.11648/j.js.20170502.12



Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.




Porto L, Filho IC, Ramalho E, Miranda J, Leal M, et al. Axillary Tuberculous lymphadenitis: a case report and a literature review. Journal of Senologic International Society.


Nwagbara VI, Asuquo ME, Ebughe G, Agbor C, Akpan S, et al. (2013) Tuberculous lymphadenitis of the neck: Case series. International Journam of Medicine 1: 4-8.


Yang CM, Hsu CH, Hsieh CM, Chen MY (2003) 18 F-FDG-PET in a clinical unsuspected axillary tuberculosis lymphadenitis mimicking malignancy. Ann Nucl Med Sci 16: 107-110.


Culpinar K, Erpulat Ozis S, Ozdemir S, Korkmaz A (2013) Primary breast tuberculosis: Report of a case. Surgical Science 4: 68-71.


Fontanilla JM, Barnes A, von Reyn CF (2011) Current diagnosis and management of peripheral tuberculous lymphadenitis. Clin Infect Dis 53: 555-562.


Mohapatra PR, Janmeja AK (2009) Tuberculous lymphadenitis. J Assoc Physicians India 57: 585-590.


Chao SS, Loh KS, Tan KK, Chong SM. Tuberculous and non tuberculous cervical lymphadenitis: a clinical review. Otolaryngology Head Neck Surg. 2002; 126: 176-179.


S hr ine r KA, Ma thi s en GE, Goe t z MB. Compa r i son of mycobacterial lymphadenitis among persons infected with human immunodeficiency virus and seronegative controls. Clin Infect Dis. 1992; 15: 601-605.


Dandapat MC, Mishra BM, Dash SP, Kar PK. Peripheral lymph node tuberculosis: a review of 80 cases. Br J Surg. 1990; 77: 911-912.


Jha BC, Dass A, Nagarkar NM, Gupta R, Singhal S. Cervical tuberculous lymphadenopathy: changing clinical pattern and concepts in management. Postgrad Med J. 2001; 77: 185-187.


Brizi MG, Celi G, Scaldazza AV, Barbaro B. Diagnostic imaging of abdominal tuberculosis: gastrointestinal tract, peritoneum, lymph nodes. Rays. 1998; 23: 115-125.


T hompson MM, Underwood MJ, Sayers RD, Dookeran KA, Bell PR. Peripheral tuberculous lymphadenopathy: a review of 67 cases. Br J Surg. 1992; 79: 763-764.


G eldmacher H, Taube C, Kroeger C, Magnussen H, Kirsten DK. Assessment of lymph node tuberculosis in northern Germany: a clinical review. Chest. 2002; 121: 1177-1182.


Jerbi M, Hidar S, El Moueddeb S, Jemaa A, Korbi S, et al. (2007) [Tuberculous axillary lymphadenitis: an unusual presentation]. Rev Med Liege 62: 188-189.


Pandey M, Abraham EK, K C, Rajan B (2003) Tuberculosis and metastatic carcinoma coexistence in axillary lymph node: A case report. World J Surg Oncol 1: 3.


Lee KC, Tami TA, Lalwani AK, Schecter G. Contemporar y management of cervical tuberculosis. Laryngoscope. 1992; 102: 60-64.


Dandapat MC, Mishra BM, Dash SP, Kar PK. Peripheral lymph node tuberculosis: a review of 80 cases. Br J Surg. 1990; 77: 911-912.


Pang SC. Mycobacterial lymphadenitis in Western Australia. Tuber Lung Dis. 1992; 73: 362-367.


Kent DC. Tuberculous lymphadenitis: not a localized disease process. Am J Med Sci. 1967; 254: 866-874.

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