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酷似乳腺癌的乳腺人类囊尾蚴病:来自尼日利亚伊费的一例报告

Human cysticercosis of the breast mimicking breast cancer: a report of a case from Ile-Ife, Nigeria.

作者信息

Omonisi A E, Odujoko O O, Aluko J A, Akinyemi H A, Alatishe O I, Omoniyi-Esan G O

出版信息

Niger J Med. 2014 Oct-Dec;23(4):351-4.

Abstract

BACKGROUND

Human cystericosis is the infection caused by the larvae of pork tapeworm Taeniasolium. The infection commonly affects the muscle, the central nervous system and subcutaneous tissues. The involvement of the breast is unusual.

OBJECTIVE

To present a 54 years old postmenopausal woman, a petty trader and a Jehovah witness who presented with a painless lump in the right breast which was increasing in size. The mass was clinically diagnosed by the Surgeon who examined her as a case of right breast cancer and an excisional biopsy was done.

METHOD

A review of the case note, autopsy findings including gross and microscopic examinations and literature was done.

RESULTS

A histopathological appraisal of biopsy revealed the presence of the typical cysticercus larva and a definitive diagnosis of right breast Cystericosis was made. The diagnosis of cysticercosis in unusual sites such as breast may be clinically difficult and this supports why all biopsies must be sent to the pathologists for definitive diagnosis.

CONCLUSION

Human cystericosis of the breast is rare, nevertheless, this should be considered as a differential diagnosis for amass in the breast particularly in the tropics and developing countries. To the best of our knowledge, this is the first case from our centre.

摘要

背景

人类囊尾蚴病是由猪带绦虫幼虫引起的感染。该感染通常累及肌肉、中枢神经系统和皮下组织。乳腺受累情况较为罕见。

目的

介绍一名54岁的绝经后女性,她是一名小商贩且是耶和华见证会信徒,因右乳出现无痛性肿块且肿块逐渐增大前来就诊。外科医生对其进行检查后临床诊断为右乳癌,并进行了切除活检。

方法

对病例记录、尸检结果(包括大体和显微镜检查)及文献进行了回顾。

结果

活检的组织病理学评估显示存在典型的囊尾蚴幼虫,从而确诊为右乳囊尾蚴病。在乳腺等不常见部位诊断囊尾蚴病在临床上可能具有挑战性,这也说明了为何所有活检样本都必须送病理科医生进行明确诊断。

结论

乳腺囊尾蚴病较为罕见,但在热带地区和发展中国家,对于乳腺肿块应将其作为鉴别诊断之一。据我们所知,这是我们中心的首例病例。

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