包虫病——乳腺囊肿的一种罕见病因：病例报告
Hydatid disease - An unusual cause of a breast cyst: Case report.
作者信息
Shekh Zkria Atia
机构信息
Department of General Surgery, Damascus Hospital, Damascus, Syria.
出版信息
Int J Surg Case Rep. 2020;68:178-179. doi: 10.1016/j.ijscr.2020.02.066. Epub 2020 Mar 9.
INTRODUCTION
Breast cysts are common and are usually due to fibrocystic disease of the breast. However, in endemic areas a breast cyst can be due to hydatid disease. This diagnosis is often made after surgical excision. Hydatid cysts, caused by the tapeworm Echinococcus granulosus, are common in endemic areas and usually occur in the liver and lung.
CASE PRESENTATION
A 23-year old female patient presented with a breast lump fearing cancer. Initial assessment demonstrated a hydatid cyst which proved to be isolated.
DISCUSSION
An isolated hydatid cyst in the breast is very rare, occurring in only 0.27% of all hydatid cases. The diagnosis is important for management and the exclusion of hydatid disease elsewhere in the body. The parasite can be detected serologically. Total excision of the cyst without spillage and benzimidazolic drugs are the management of choice.
CONCLUSION
In endemic areas of hydatid disease, the possibility that a breast lump might be hydatid in origin needs to be considered.
引言
乳腺囊肿很常见，通常由乳腺纤维囊性疾病引起。然而，在流行地区，乳腺囊肿可能由包虫病引起。这种诊断通常在手术切除后做出。由细粒棘球绦虫引起的包虫囊肿在流行地区很常见，通常发生在肝脏和肺部。
病例介绍
一名23岁女性患者因担心患癌而出现乳腺肿块。初步评估显示为一个孤立的包虫囊肿。
讨论
乳腺中孤立的包虫囊肿非常罕见，仅占所有包虫病例的0.27%。该诊断对于治疗以及排除身体其他部位的包虫病很重要。可通过血清学检测寄生虫。囊肿完整切除且不发生溢出以及使用苯并咪唑类药物是首选的治疗方法。
结论
在包虫病流行地区，需要考虑乳腺肿块可能起源于包虫病的可能性。
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