Department of Pathology, School of medicine, Debre Markos University, Debre Markos, Ethiopia.
Department of Surgery, School of medicine, Debre Markos University, Debre Markos, Ethiopia.
Int J Infect Dis. 2022 Dec;125:228-230. doi: 10.1016/j.ijid.2022.11.004. Epub 2022 Nov 7.
Hydatid disease is a zoonosis caused by the Echinococcus species. The liver and lungs are where it generally seen, with breast involvement being extremely uncommon. This is a case of a woman aged 28 years who presented with a progressive painless swelling on the left breast, which was fluctuant and nontender, detected on the upper outer quadrant. The cytologic evaluation yielded a crystal-clear fluidal aspirate composed of a few laminated metachromatic materials and the mass sonographically appeared as an anechoic cystic mass having a double-layered wall with posterior acoustic enhancement. A radical pericystectomy was performed after the preoperative diagnosis of breast hydatid cyst was entertained, and the diagnosis was later confirmed by histopathology. Although isolated breast hydatid cysts are uncommon, they can happen and may mimic other cystic and solid masses of the breast clinically. Thus, radiologic assessment with cytopathologic correlation is imperative for precise preoperative diagnosis and to minimize the risk of intraoperative complications.
包虫病是一种由细粒棘球绦虫引起的人畜共患疾病。它通常发生在肝脏和肺部，而乳房受累极为罕见。这是一位 28 岁女性的病例，她出现了左侧乳房进行性无痛性肿胀，在上外侧象限可触及波动但无触痛的肿块。细胞学评估显示为清澈的液性抽吸物，由少量层状变色物质组成，超声显示肿块为具有双层壁的无回声囊性肿块，伴有后方声学增强。术前诊断为乳腺包虫囊肿后，行根治性包囊切除术，术后组织病理学证实诊断。虽然孤立性乳腺包虫囊肿并不常见，但它们可能发生，并可能在临床上类似于其他乳腺囊性和实性肿块。因此，影像学评估结合细胞病理学相关性检查对于精确的术前诊断和降低术中并发症风险至关重要。
