A rare case of isolated hydatid cyst of breast

Kumar, Amit; Kumar, Amit; Gaurav, Kumar; Chandra, Gautam; Tiwary, Anup Kumar; Bhagat, Sanjeev; Sarawgi, Mona

doi:10.1016/j.ijscr.2014.10.093

Cited by 14 publications

(12 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On ultrasound, the lesion is usually indistinguishable from simple or complicated cysts [20, 21]. On MRI, it appears as a well defined cystic lesion with capsular enhancement [20, 21]. In our study, we encountered only one case of hydatid cyst in the breast and chest wall.…”

Section: Discussionmentioning

confidence: 83%

“…Breast is an exceedingly rare location for CE to develop and accounts for only 0.27% of all cases [20, 21]. Mammography shows vague findings and the cyst usually appears as a circumscribed mass with thin peripheral calcification, similar to a simple cyst.…”

Section: Discussionmentioning

confidence: 99%

“…Mammography shows vague findings and the cyst usually appears as a circumscribed mass with thin peripheral calcification, similar to a simple cyst. On ultrasound, the lesion is usually indistinguishable from simple or complicated cysts [20, 21]. On MRI, it appears as a well defined cystic lesion with capsular enhancement [20, 21].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Maverick Disease: Cystic Echinococcosis in Unusual Locations: A Ten Year Experience from an Endemic Region

Butt¹,

Khan²

2019

Cureus

View full text Add to dashboard Cite

BackgroundCystic echinococcosis (CE) is a neglected tropical disease which affects more than 1 million people globally, causing a loss of 1-3 million disability-adjusted life years (DALYs) and a financial burden of US$ 3 billion annually.The two most commonly involved organs are the liver and the lungs with involvement in 75% and 5 -15% of cases respectively. The rest of the body can be involved in up to 10% of cases. In this study, we aim to explore the presentation, treatment and outcomes of CE in unusual locations.MethodsRetrospective review of charts of 225 patients of CE admitted at Aga Khan Hospital, Karachi from 2007-2017 was done. Demographic information, date of admission, clinical presentation, laboratory and radiological findings, histopathology reports (where applicable), treatment course and outcomes were noted.ResultsCE occurred in the liver in 146 (64.9%) patients, in the lungs in 55 (24.4%) patients and in unusual locations in 24 (10.7%) patients. Primary involvement of unusual locations was seen in 22 (91.7%) cases. Amongst the 24 patients with disease in unusual locations, 13 (54.2%) were males and 11 (45.8%) were females and the median age of these patients was 43 years. Fever and dyspnea were the most common presenting complains, occurring in 5 (20.8%) patients each followed by epigastric abdominal pain and weight loss occurring in 3(12.5%) patients each. Spleen was the most common unusual location for CE with four cases (16.7%) of splenic involvement occurring, followed by cardiac, spinal and mediastinal involvement occurring in three (12.5%) patients each. Other unusual locations included the abdominal cavity, bones, breast, kidney, seminal vesicle, brain, adrenal glands and the inguinal region. The treatment courses employed were a) medical, consisting of oral albendazole use(400 mg twice daily), b) surgical c) combined (medical plus surgical) therapy. Combined surgical and medical therapy, was the most common modality employed, with it being given to 14 (58.3%) patients. Surgery only was performed in 5 (20.8%) patients while medical therapy only to 3 (12.5%) patients. Resolution of the disease was seen in 19 (79.2%) patients on follow up imaging. Recurrence occurred in 4 (16.7%) and mortality in 1 patient. Two patients (8.3%) were lost to follow up.ConclusionsCE can be challenging to diagnose especially when it occurs in unusual locations. CE must be included in the differential diagnosis of a cystic lesion in any organ of the body, especially in endemic areas, to ensure timely diagnosis and treatment, to prevent morbidity and mortality associated with chronicity of the disease.

show abstract

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Maverick Disease: Cystic Echinococcosis in Unusual Locations: A Ten Year Experience from an Endemic Region

Butt¹,

Khan²

2019

Cureus

View full text Add to dashboard Cite

show abstract

“…The most common ultrasonographic appearance in this study was a multiloculated cystic lesion with thick internal septa and echogenic materials. Similarly, ultrasonography of a breast hydatid cyst by Kumar et al revealed a thick-walled cystic lesion with floating membranes and internal echoes in the subareolar region of the right breast (17).…”

Section: Discussionmentioning

confidence: 89%

Hydatid Cyst of the Breast: A Case Series and Review of the Literature

Tavakoli

Rastegar

Laein

et al. 2016

Iran Red Crescent Med J

View full text Add to dashboard Cite

Introduction: A hydatid cyst of the breast is an extremely rare condition caused by Echinococcus granulosus, even in endemic countries, which accounts for 0.27% of all cases. Only a few reports have been published in the literature about breast hydatid cysts. Patients usually present with a palpable and painless lump in the breast. Clinically, it is difficult to differentiate breast hydatid cysts from more common breast lesions. However, imaging plays an important role, and often helps to distinguish this rare cystic disease of the breast from other breast masses. Case Presentation: Iran is an endemic area for Echinococcus granulosus, and we present six cases of primary breast hydatid cysts which were diagnosed over the course of 10 years in our institution. We aimed to present the mammographic and ultrasonographic findings for these patients. Conclusions: Hydatid cysts should be considered in the diagnosis of cystic lesions of the breast, particularly in endemic areas.

show abstract

“…It might mimicked fibroadenoma, phyllodes tumors, chronic abscesses, or even carcinoma. 10 A 28-year-old woman presented with gradually progressive, painful left breast since one month duration. There was no history of injury, discharge from the nipple and family history of breast cancer.…”

Section: Discussionmentioning

confidence: 99%