Jyotsna Mili, Doomra Rhythm, Yadav Shakti Kumar
Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Bhopal, India.
All India Institute of Medical Sciences, Bhopal, India.
Int J Surg Case Rep. 2023 Nov;112:108956. doi: 10.1016/j.ijscr.2023.108956. Epub 2023 Oct 11.
Cysticercosis is a zoonotic disease caused by the larval form of Taenia solium. Its occurrence as a breast lump is rarely observed and therefore presents significant diagnostic challenges, especially in non-endemic regions.
A 25-year-old female patient presented with a lump in her left breast. The lesion was initially non-diagnostic on ultrasound and fine needle aspiration cytology. Excision biopsy of the cystic lesion was done, and histopathological examination confirmed it to be cysticercosis. Post surgery patient was given Albendazole, and she was asymptomatic during the 3 month follow up.
This case highlights the disease's ability to present in atypical forms, such as a breast lump, and the importance of considering cysticercosis in differential diagnosis, especially in endemic regions. Ultrasonography remains the preferred initial diagnostic modality, and the role of FNAC and histopathology is crucial for confirmation. The case also emphasizes the need for heightened clinical suspicion, even when traditional risk factors like pork consumption are absent.
This case emphasizes the importance of considering cysticercosis as a differential diagnosis for breast lumps, even with atypical presentation or in a non-endemic region. It highlights the need for greater awareness of this disease, stringent public health measures, and improved personal hygiene to combat its spread.
囊尾蚴病是一种由猪带绦虫幼虫引起的人畜共患病。其以乳腺肿块形式出现的情况很少见，因此带来了重大的诊断挑战，尤其是在非流行地区。
一名25岁女性患者左侧乳房出现肿块。该病变最初在超声和细针穿刺细胞学检查中无法明确诊断。对囊性病变进行了切除活检，组织病理学检查证实为囊尾蚴病。术后患者接受了阿苯达唑治疗，在3个月的随访期间无症状。
该病例突出了这种疾病以非典型形式出现的能力，如乳腺肿块，以及在鉴别诊断中考虑囊尾蚴病的重要性，尤其是在流行地区。超声检查仍然是首选的初始诊断方法，细针穿刺抽吸活检（FNAC）和组织病理学的作用对于确诊至关重要。该病例还强调，即使没有像食用猪肉这样的传统风险因素，也需要提高临床怀疑度。
该病例强调了即使在非典型表现或非流行地区，也需将囊尾蚴病作为乳腺肿块鉴别诊断的重要性。它突出了提高对这种疾病的认识、采取严格的公共卫生措施以及改善个人卫生以对抗其传播的必要性。
