A rare phenotype of breast hydatid cyst causing misdiagnosis and unnecessary intervention: a case report

Alareqi, Amal A.; Alshoabi, Sultan Abdulwadoud; Alhazmi, Fahad; Hamid, Abdullgabbar M.; Alsharif, Walaa; Gameraddin, Moawia

doi:10.1016/j.radcr.2021.07.055

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…This corresponds to the parasitic membranes and pericyst, which is a fibrous capsule 6 . Internal floating membranes also have low signal intensity in all sequences, which is another specific imaging feature of a HC 11 . Hydatid sand has an intermediate T1 signal intensity.…”

Section: Discussionmentioning

confidence: 97%

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Isolated breast hydatid cyst: Imaging features

Mazhoud

Mariem

Marwa

et al. 2022

Clinical Case Reports

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Section: Discussionmentioning

confidence: 97%

“…6 Internal floating membranes also have low signal intensity in all sequences, which is another specific imaging feature of a HC. 11 Hydatid sand has an intermediate T1 signal intensity. Daughter vesicles may appear hypointense or isointense relative to the maternal matrix on T1-and T2-weighted MR images.…”

Section: Discussionmentioning

confidence: 99%

Isolated breast hydatid cyst: Imaging features

Mazhoud

Mariem

Marwa

et al. 2022

Clinical Case Reports

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“…Hydatid cysts have been reported in the orbit as a retrobulbar cystic lesion that is confirmed by histopathology examination [ 48 ] in the left lobe of the thyroid gland mimicking colloid cysts and leading to left lobectomy and isthmectomy [ 49 ], and in the submandibular salivary gland mimicking enlarged lymph nodes diagnosed by fine-needle aspiration cytology [ 50 ]. They have been reported in parotid salivary glands leading to cystectomy with partial parotidectomy [ 51 ]; in the female breast, mimicking a breast mass forming diagnostic dilemma [ 52 ]; and in the male breast, mimicking a breast mass leading to lumpectomy where the diagnosis was confirmed on a histopathology examination [ 53 ]. They have been reported in the mediastinum mimicking mediastinal cystic lesions [ 54 ], and in the right ventricle of the heart mimicking intraventricular congenital cardiac cysts [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

Hydatid Disease: A Radiological Pictorial Review of a Great Neoplasms Mimicker

Alshoabi

Almas

Magram³

et al. 2023

Diagnostics

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Hydatid cyst is a common name for the larval stage of a tapeworm species of the genus Echinococcus granulosus, which is transmitted from animals to humans via the fecal–oral route. Hydatid cysts predominantly affect the liver (75%), followed by the lung (15%), and they can affect many organs in the human body. Medical imaging modalities are the keystone for the diagnosis of hydatid cysts with high sensitivity and specificity. Ultrasound imaging with high resolution is the first choice for diagnosis, differential diagnosis, staging, establishing a role in interventional management, and follow-up, and it can differentiate Type I hydatid cysts from simple liver cysts. Unenhanced computed tomography (CT) is indicated where or when an ultrasound is unsatisfactory, such as with chest or brain hydatid cysts, when detecting calcification, and in obese patients. Magnetic resonance imaging (MRI) is superior for demonstrating cyst wall defects, biliary communication, neural involvement, and differentiating hydatid cysts from simple cysts using diffusion-weighted imaging (DWI) sequences. According to the phase of growth, hydatid cysts occur in different sizes and shapes, which may mimic benign or malignant neoplasms and may create diagnostic challenges in some cases. Hydatid cysts can mimic simple cysts, choledochal cysts, Caroli’s disease, or mesenchymal hamartomas of the liver. They can mimic lung cystic lesions, mycetoma, blood clots, Rasmussen aneurysms, and even lung carcinomas. Differential diagnosis can be difficult for arachnoid cysts, porencephalic cysts, pyogenic abscesses, and even cystic tumors of the brain, and can create diagnostic dilemmas in the musculoskeletal system.

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Hydatid Cyst of The Breast: A Systematic Review

Rezheen J. Rashid,

Khandan A. Anwar,

Ayoob A. Mohammed

et al. 2024

Barw Medical Journal

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Introduction Due to its rarity, there is limited information regarding breast hydatid disease, mostly derived from case reports. This study aims to review the clinical presentation and management of the disease systematically. Methods The PubMed/Medline and Google Scholar were searched with the following keywords: (Breast OR Breasts OR "mammary gland" AND hydatid OR hydatidosis OR echinococcus OR echinococcal OR echinococcosis OR "E. granulosus"). Only English-language studies published in legitimate journals were included. Additional inclusion criteria involved a confirmed diagnosis of breast hydatid cyst, details on presentation, cyst characteristics, and management. Results Most cases were reported in India (32.6%) and Turkey (25.6%). The mean age of the patients was 40.88 ± 15.7 years, and all 43 patients were female. Most (69.8%) were asymptomatic, while 25.6% reported pain and 2.3% reported dry skin. Surgery with albendazole was the treatment of choice in 51.2% of the cases, followed by surgery alone in 39.5%. Most cases (65.1%) recovered without complications, whereas one did not and was under follow-up. The recovery status was not mentioned in 14 cases (32.6%). Conclusion Breast hydatid cyst is an extremely rare finding that can be asymptomatic in most instances. Surgery combined with albendazole may be the most successful treatment approach.

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A rare phenotype of breast hydatid cyst causing misdiagnosis and unnecessary intervention: a case report

Cited by 3 publications

References 19 publications

Isolated breast hydatid cyst: Imaging features

Isolated breast hydatid cyst: Imaging features

Hydatid Disease: A Radiological Pictorial Review of a Great Neoplasms Mimicker

Hydatid Cyst of The Breast: A Systematic Review

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