Sethi Humsheer Singh, Mohapatra Satya, Panda Adyakinkar, Mali Chayasmita
Department of Radio-Diagnosis, Faculty of Medical Sciences, Institute of Medical Sciences & SUM Hospital, Bhubaneswar, India.
Department of Pathology, Kalinga Institute of Medical Sciences, Bhubaneswar, India.
Ultrasound. 2024 Aug;32(3):178-182. doi: 10.1177/1742271X241233945. Epub 2024 Mar 13.
Hydatid disease of the male breast has not been documented in literature to date.
We present a case of a 46-year old male patient who presented with a painful breast lump for 1 year. On imaging, it was suspicious for hydatid disease of the breast and was successfully diagnosed preoperatively on fine-needle aspiration cytology and histopathology as hydatid disease of the breast.
Incidence of hydatid disease of the breast contributes to a minute number of total cases of hydatid disease. Male breast hydatid disease was unknown prior to this report. We did find similarities in the imaging features of our case and the ones described for female breasts. On ultrasonography, we found it analogous to the 'water-lily' sign which has been described in hepatic hydatic cysts.
Keeping hydatid disease as a differential in the setting of a suspicious breast mass even in a male patient proved to be rewarding as it negated the need for further cross-sectional imaging and a definitive diagnosis could be sought based on the fine-needle aspiration cytology and histopathological findings.
男性乳腺包虫病迄今为止在文献中尚无记载。
我们报告一例46岁男性患者，其乳腺出现疼痛性肿块1年。影像学检查怀疑为乳腺包虫病，经细针穿刺细胞学检查和组织病理学检查，术前成功诊断为乳腺包虫病。
乳腺包虫病的发病率在包虫病总病例数中占比极小。在本报告之前，男性乳腺包虫病尚不为人知。我们发现该病例的影像学特征与已描述的女性乳腺包虫病的特征相似。超声检查时，我们发现它类似于肝包虫囊肿中描述的“睡莲”征。
即使在男性患者中，对于可疑乳腺肿块，将包虫病列为鉴别诊断之一被证明是有意义的，因为这样无需进一步的断层成像，可根据细针穿刺细胞学检查和组织病理学检查结果进行明确诊断。
