Background Filariasis is a tropical vector-borne disease seen predominantly in endemic areas, and the most common presentation is a lymphatic disorder in the form of lymphangiectasia. This case describes the breast as one of the uncommon sites of involvement by the filarial worm. Case presentation We report an uncommon case of breast filariasis with chief complaints of a nodular lump in the breast. Conclusions As symptoms of breast filariasis can mimic breast malignancy, appropriate diagnosis using real-time ultrasound plays a crucial role to reduce psychological stress on the patient and also helps in planning treatment.

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