An interesting case of breast filariasis

Upadhyaya, Vijai D.; Upadhyaya, Divya Narain; Sarkar, Shaymal

doi:10.4103/0971-3026.32383

Cited by 11 publications

(22 citation statements)

References 4 publications

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“…The most common site is the upper outer quadrant. Hyperemia in the overlying skin with changes of peau d' orange and enlargement of axillary nodes has also been reported (Lang et al 1987;Upadhaya et al 2006).…”

Section: Discussionmentioning

confidence: 95%

“…Ultrasound is a valuable tool in the diagnosis of lymphatic filariasis which can pick up typical 'filarial dance' sign of live adult worms (Upadhaya et al 2006). Although there are reports stating the presence of microfilariae in aspirates of various sites like soft tissue, epididymis, testis etc., reports of adult worms in aspirates are sparse (Kumar et al 2011).…”

Section: Discussionmentioning

confidence: 99%

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Adult filarial worm from the breast aspirate of a young man

2014

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Microfilariae and adult filarial worm have been incidentally detected in fine needle aspirates of various lesions in clinically unsuspected cases. Here we report a male patient who presented with a tender breast nodule and single enlarged lymph node. Fine Needle Aspiration (FNA) yielded 1 ml of yellow coloured fluid and single thread like worm measuring 6 9 0.2 cm. A diagnosis of breast abscess with a worm morphologically consistent with filariasis was offered. A follow up visit after 2 months showed regression of the breast lesion and the lymph node. Filariasis of the breast is an uncommon condition and can cause a diagnostic dilemma at times. FNA cytology appears to be a more convenient and effective diagnostic tool in patients with mass lesions. Demonstration and identification of the parasite in smears helps in avoiding surgical excision and early institution of prompt therapy especially in young patients.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Adult filarial worm from the breast aspirate of a young man

2014

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“…An entire arm or leg maybe affected in both. (5) Involvement of the male breast is extremely rare and has not been reported in literature.…”

Section: Discussionmentioning

confidence: 99%

“…The larvae enter the lymphatic vessels causing lymphangitis, fibrosis and disruption of lymphatic drainage and presents as a unilateral painless solitary non-tender breast mass, commonly in the upper and outer quadrant. (5) Sometimes, skin over the nodule may be hyperemic with changes of peau d'orange and the axillary nodes may be enlarged mimicking inflammatory carcinoma breast. (6) Microfilaria of W. bancrofti circulate in the peripheral blood with regular nocturnal periodicity and maximum density had been reported between 10 pm and 2 am.…”

Section: Discussionmentioning

confidence: 99%

Microfilariasis of the Male Breast

Johri¹,

Sharma²,

Mathur³

et al. 2015

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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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“…1 Sometimes, skin over the nodule may be hyperemic with changes of peau d'orange, and the axillary nodes may be enlarged. 2 Some other parasitic infections like cysticercosis, schistosomiasis may also present as lumps in the breast and are often clinically thought to be malignant.…”

Section: Discussionmentioning

confidence: 99%