Extra-Pulmonary Pseudo-Tumoral Tuberculosis in Pathological Anatomy: About 39 Cases at Souro Sanou Teaching Hospital in Bobo Dioulasso - Abstract
Baground: The frequency of organs affected by extra-pulmonary tuberculosis (EPT) varies according to the methodology and the medical specialty of the authors. In this paper we present the cases received in pathological anatomy, where the indication is dominated by the exploration of a tumor syndrome.
Methodology: This involved the analysis of a retrospective cohort of 39 EPT cases in the only pathology anatomy unit in the Bobo Dioulasso area. Over a period of 4 years (2014-2017), we included all cases of extra-pulmonary tuberculosis diagnosed by histology using the standard technique, positive or negative Zihel-Neelsen staining.
Results: All cases collected give a hospital frequency of about 10 cases per year. The female sex was predominant with 28 women against 11 men, with a sex ratio between women and men of 2.54. The average age was 27.65 years, with extremes of 3 to 66 years. Ziehl-Neelsen staining was positive in only
6 cases (15.39%). The localizations identified were lymph node (53.84%), genito-mammary (23.08%), osteo-articular (12.83%) and digestive (10.25%). Genito-mammary involvement was present in the breast, cervix and trunk. Cervical lymphadenopathy was the main clinical symptomatology
Conclusion: EPT is not so rare, but difficult to diagnose; it is therefore under diagnosed in our context, showing the importance of training. improving the means of investigation and multidisciplinary collaboration keeps its place for better management