Bilateral inguinal lymphadenopathy presenting as tuberculosis in a case of carcinoma rectum

• Main Authors: Sunil Vyas, Narendra Umashankar, Nirupama Kothari, Vinay Vyas
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2017-01-01
• Series: International Journal of Mycobacteriology
• Subjects: Bilateral inguinal; carcinoma rectum; extrapulmonary tuberculosis; tubercular lymphadenitis
• Online Access: http://www.ijmyco.org/article.asp?issn=2212-5531;year=2017;volume=6;issue=4;spage=410;epage=411;aulast=Vyas
• ISSN: 2212-5531; 2212-554X

Isolated bilateral inguinal tubercular lymphadenitis is a very rare presentation. A 59-year-old male, on treatment for Carcinoma rectum (T3 N1 M0) presented with bilateral inguinal lymphadenopathy. Metastasis and tuberculosis were considered for differentials. FNAC of the lesion showed Necrotizing granulomatous lymphadenitis. There was regression of the lesion on both sides after two months of Anti-tubercular Therapy. Even though Metastasis is the commonest cause of inguinal lymphadenopathy in a case of carcinoma rectum, Tuberculosis needs to be considered in the differential diagnosis in our country. FNAC/Biopsy can be considered in those patients to confirm the diagnosis.