Department of Breast Imaging, Multan Institute of Nuclear Medicine and Radiotherapy Cancer Hospital, Multan, Pakistan.
Department of Radiology, Mukhtar A Sheikh Hospital, Multan, Pakistan.
J Pak Med Assoc. 2023 Jul;73(7):1530-1532. doi: 10.47391/JPMA.7085.
Hydatid cysts are mainly found in the liver and lungs. Only few cases have been reported in the breast and majority of these cases have been diagnosed post 15 operatively. We report a case of hydatid cyst of the breast diagnosed pre-operatively by fine needle aspiration and cytology (FNAC), without any complication. A 50 years old female presented with a slowly growing mobile lump in the left breast for 3 years. Mammography showed a circumscribed opacity in left breast. High resolution ultrasound displayed a unilocular cyst with some echogenic specks settling to the gravity dependent portion. An aspiration was planned and, as the cyst volume decreased, membranes appeared within the residual fluid and started settling down. Cytology of aspirated fluid revealed a hydatid cyst. Hydatid cysts in the breast are rare but possible, particularly in endemic regions. Clinical and radiological aspects of hydatid disease along with review of literature are presented in this paper.
包虫囊肿主要见于肝和肺。仅有少数病例见于乳腺，且大多数是在术后 15 天确诊的。我们报告了一例术前通过细针抽吸和细胞学（FNAC）诊断的乳腺包虫囊肿病例，无任何并发症。一名 50 岁女性因 3 年来左乳逐渐增大的可移动肿块就诊。乳房 X 线摄影显示左乳房有一个边界清楚的不透明区。高分辨率超声显示一个单房性囊肿，内部有一些回声斑点，沉积在重力依赖的部位。计划进行抽吸，随着囊肿体积的减少，在残留液中出现了囊膜，并开始沉降。抽吸液的细胞学检查显示为包虫囊肿。乳腺包虫囊肿罕见但可能存在，特别是在流行地区。本文介绍了包虫病的临床和影像学表现以及文献复习。
