Kim Hyung Suk, Shin Man Sik, Kim Chang Jong, You Sun Hyung, Eom Yong Hwa, Yoo Tae Kyung, Lee Ahwon, Song Byung Joo, Chae Byung Joo
Department of Surgery, Seoul St. Mary's Hospital, Catholic University of Korea College of Medicine, Seoul 06591, Korea.
Department of Hospital Pathology, Seoul St. Mary's Hospital, Catholic University of Korea College of Medicine, Seoul 06591, Korea.
Korean J Parasitol. 2017 Aug;55(4):421-424. doi: 10.3347/kjp.2017.55.4.421. Epub 2017 Aug 31.
Sparganosis is a parasitic infection caused by the sparganum, the plercercoid of the genus Spirometra. The preoperative diagnosis of breast sparganosis is difficult in most cases because it is a rare parasitic infection less than 2% of all cases. We report a 62-year-old woman case of breast sparganosis that were confirmed by surgical removal of worms from the right breast. The radiologic images of the patient also revealed characteristic features of breast sparganosis. The patient described the migrating palpable breast mass, which strongly suggested the possibility of breast sparganosis. The treatment of choice and confirmative diagnosis for sparganosis are complete surgical extraction of the sparganum irrespective of infected site. Inspection of the mass site with detailed medical history and radiological examinations are important for preoperative diagnosis of sparganosis patients.
裂头蚴病是由裂头绦虫属的裂头蚴引起的一种寄生虫感染。在大多数情况下，乳腺裂头蚴病的术前诊断很困难，因为它是一种罕见的寄生虫感染，在所有病例中占比不到2%。我们报告一例62岁女性乳腺裂头蚴病病例，通过手术从右侧乳房取出虫体得以确诊。该患者的影像学图像也显示出乳腺裂头蚴病的特征性表现。患者描述了可触及的迁移性乳房肿块，这强烈提示了乳腺裂头蚴病的可能性。无论感染部位如何，裂头蚴病的首选治疗方法和确诊方法都是完整手术摘除裂头蚴。结合详细病史和影像学检查对肿块部位进行检查，对于裂头蚴病患者的术前诊断很重要。
