Das Diganta Kr, Choudhury Urbashi
YM Hospital, Bhunter, Kullu.
J Indian Med Assoc. 2002 May;100(5):327-8.
Hydatid disease of the breast is rare, but it should be included under differential diagnosis of a breast lump especially in endemic areas of this disease. Fine needle aspiration cytology can provide a safe pre-operative diagnosis, although mammogram, ultrasonography of breast, magnetic resonance imaging and serological tests like Casoni's test can also be done. Complete excision of the cyst without spillage can be a curative procedure for primary hydatid cyst of the breast. It is important to explore other common sites like liver and lung by means of ultrasonography and chest x-ray and treat accordingly. Here in this report, a lady of 27 years old presented with a painless lump of the left breast. Fine needle aspiration cytology was inconclusive. Lumpectomy was done. Histopathological examination confirmed it to be a case of hydatid disease involving the left breast.
乳腺包虫病较为罕见,但在鉴别乳腺肿块时,尤其是在该病的流行地区,应将其纳入鉴别诊断范围。细针穿刺细胞学检查可提供安全的术前诊断,不过乳房X线摄影、乳腺超声检查、磁共振成像以及像卡索尼试验这样的血清学检查也可进行。完整切除囊肿且不发生囊液外溢,对于乳腺原发性包虫囊肿可能是一种治愈性的手术方式。通过超声检查和胸部X线检查来探查肝脏和肺等其他常见部位并进行相应治疗很重要。在本报告中,一名27岁女性因左乳无痛性肿块就诊。细针穿刺细胞学检查结果不明确。遂进行了肿块切除术。组织病理学检查证实这是一例累及左乳的包虫病病例。