Al Sharei Aiman, Abu-Jeyyab Mohammad, Al-Khalaileh Maysaa, Al-Awabdeh Michleen, Al-Asbahi Hanan, Al-Dwairy Salem, Al-Share Mohammad
Department of Pharmacology, Public Health and Clinical Skills, Faculty of Medicine.
School of Medicine, Mutah University, Karak, Jordan.
Ann Med Surg (Lond). 2023 Apr 20;85(6):2981-2984. doi: 10.1097/MS9.0000000000000642. eCollection 2023 Jun.
Hydatid cyst disease is a parasitic infestation caused by the tapeworm . The incidence of the disease is 1-200 cases per 100 000. The usual presentation is the formation of fluid-filled cysts in the liver or lungs and, less commonly, in the brain. The breast is a rare site of presentation for this disease. An isolated hydatid cyst in the breast is very rare, even in endemic regions, occurring in only 0.27% of all hydatid cases. Although these cases are very rare, they should be considered severe. A hydatid breast cyst may mimic a fibroadenoma, phyllodes tumor, chronic abscess, or even carcinoma. Therefore, a high incidence of misdiagnosis may occur. Preoperative diagnosis can be made using needle aspiration and imaging facilities such as breast ultrasonography, mammograms, and computerized topographic images. Nevertheless, in most cases, the final diagnosis cannot be made until the pathological report is obtained postsurgery. This paper reports the first case of a bilateral hydatid cyst of the breast that was diagnosed preoperatively by radiological facilities. We present the patient history, physical examination, and investigations, discuss the risk factors, and present our treatment plan.
包虫囊肿病是一种由绦虫引起的寄生虫感染。该病的发病率为每10万人中有1 - 200例。常见表现为在肝脏或肺部形成充满液体的囊肿，较少见的是在脑部。乳腺是该病罕见的发病部位。孤立的乳腺包虫囊肿非常罕见，即使在流行地区，也仅占所有包虫病例的0.27%。尽管这些病例非常罕见，但应视为重症。乳腺包虫囊肿可能类似纤维腺瘤、叶状肿瘤、慢性脓肿，甚至癌。因此，误诊率可能较高。术前诊断可采用针吸活检以及乳腺超声、乳房X线摄影和计算机断层扫描等成像设备。然而，在大多数情况下，直到术后获得病理报告才能做出最终诊断。本文报告了首例通过放射学检查术前诊断为双侧乳腺包虫囊肿的病例。我们介绍了患者的病史、体格检查和检查结果，讨论了危险因素，并提出了我们的治疗方案。
