Adult filarial worm in the aspirate from a breast lump mimicking fibroadenosis

Chakrabarti, Indranil; Das, Vaswati; Halder, Biswajit; Giri, Amita

doi:10.4103/2229-5070.86965

Cited by 9 publications

(16 citation statements)

References 5 publications

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“…Thus diagnosis of breast filariasis is solely made on the demonstration of adult worm and microfilaria. [12] In our case, microfilaria was found in cytology aspirate of breast lump of a lactating female presenting as abscess whereas it was not detected in peripheral blood smear and patient responded well to the DEC therapy. Lymphatic filariasis is targeted for elimination in India through mass drug administration (MDA) with DEC combines with C-124…”

Section: Discussionmentioning

confidence: 51%

Squamoid Eccrine Ductal Carcinoma: A Diagnostic

Sharma

Malhotra

Bhardwaj

2018

APALM

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Filariasis is a major public health problem in tropical countries including India. Filariasis is transmitted by the bite of culex mosquitoes. The diagnosis is conventionally made by demonstrating microfilaria in the peripheral blood smear. Microfilaria has been incidentally detected in FNAC smears from various sites. However, the presence of filarial worm in breast aspirate is unusual. We report a case of lactating female with breast lump presenting as tender subcutaneous nodule, clinically mimicking as a breast abscess, which on aspiration cytology revealed presence of numerous microfilaria in the background of inflammatory cells.

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Section: Discussionmentioning

confidence: 51%

Squamoid Eccrine Ductal Carcinoma: A Diagnostic

Sharma

Malhotra

Bhardwaj

2018

APALM

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“…Numerous microfilariae were seen coming out from the paired uteri. (1) Filarial antigen may be detected in patient serum by EIA using monoclonal antibodies. Polymerase chain reactionbased immunological blood test for Wuchereria bancrofti can also be a helpful adjunct the diagnostic work-up.…”

Section: Discussionmentioning

confidence: 99%

“…(1) In India it is endemic in Orissa, Uttar Pradesh, Bihar, Andhra Pradesh, Tamil Nadu and Gujarat. The nematode Wuchereria bancrofti accounts for majority of cases worldover followed by Brugia malayi and Brugia timori.…”

Section: Introductionmentioning

confidence: 99%

Microfilariasis of the Male Breast

Johri¹,

Sharma²,

Mathur³

et al. 2015

jemds

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Filariasis is a major public health problem in the tropics. The involvement of breast, more so in men, is a rare event even in the endemic areas. In this case report, we present an elderly man with a painless breast lump with microfilarial involvement. A triple evaluation was done initially to rule out malignancy. Examination revealed a discrete, firm, retroareolar lump. Ultrasonography showed soft tissue thickening and edema in subcutaneous plane suggestive of inflammatory pathology. FNAC revealed microfilariae in a background of leucocytes. Diagnosis of Bancroftian filariasis was made and patient was started on oral diethylcarbamazine. After 3 weeks of treatment the swelling resolved completely and the patient is asymptomatic for more than one year.

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“…Wuchereria bancrofti (W. bancrofti) accounts for more than 90% of all filariasis cases in the world followed by Brugia malayi (B. malayi) and Brugia timori (B. timori). [7] Brugia malayi is confined to South-east and Eastern Asia. B. timori is found only in Timor and its adjacent islands.…”

Section: Discussionmentioning

confidence: 99%

Unusual Cytological Findings In Breast Aspirates: Case Studies Of Microfilariae With Review Of Literature

Gole¹,

Satyanarayana²,

Gole³

2013

IJPA

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Introduction: Extranodal filariasis is a rare entity and the breast is an uncommon site for filarasis. Patients commonly present with an underlying lump and may occasionally mimic malignancy. Lymphatic filariasis in humans is commonly caused by Wuchereria bancrofti and Brugia malayi.Materials and methods:In two cases of breast lump, FNAC was performed by a 24 gauge needle fitted to a 10 cc syringe. Smears were wet fixed immediately in 95% alcohol and stained by hematoxylin and eosin, and Papanicolaou stain. Air dried smears were stained by May-Grünwald Giemsa stain.Case 1: A 50-year-old female came with history of lump in left breast and a small palpable node in the left axilla since 15 days. The provisional diagnosis was carcinoma breast. The lump was firm, mobile measuring 4 x 3 cm. On Fine needle aspiration (FNA), creamy material was aspirated. Cytological diagnosis was Granulomatous mastitis of parasitic origin-Microfilariae. Case 2: A 30-year-old female came with history of lump in left breast since 15 days. Clinically, it was diagnosed as Fibroadenoma. There was a single well defined, mobile, non tender mass measuring 2 x 1 cm situated in the upper inner quadrant. On FNA, 0.5 cc blood mixed cystic fluid was aspirated. Cytological diagnosis was Mastitis of parasitic origin-Microfilariae (Wuchereria bancrofti). Results: Two cases of breast lump were reported as Filarisis on FNAC. Case 1 showed granulomas and clinically it was suspicious of malignancy. In case 2 the clinical diagnosis was fibroadenoma. Both the cases were females with mean age being 40 years. Both cases were of Filariasis with case 1 showing well-formed granulomas and both the patients presented with lump in the left breast. Conclusion: In endemic areas filariasis should be considered one of the differential diagnoses of superficial swelling. Careful screening of FNAC smears help in detecting microfilaria even in asymptomatic patients.

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Adult filarial worm in the aspirate from a breast lump mimicking fibroadenosis

Cited by 9 publications

References 5 publications

Squamoid Eccrine Ductal Carcinoma: A Diagnostic

Squamoid Eccrine Ductal Carcinoma: A Diagnostic

Microfilariasis of the Male Breast

Unusual Cytological Findings In Breast Aspirates: Case Studies Of Microfilariae With Review Of Literature

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