Filariasis of the Breast Mimicking Inflammatory Carcinoma

Kaur, Rupinder; Phillip, Kandathil Joseph; Masih, Kanwal; Kapoor, Richa; Johnny, Cecil S.

doi:10.1309/lm8jj0pbb7riwnlb

Cited by 19 publications

(30 citation statements)

References 8 publications

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“…However, early diagnosis in those cases could be reached by demonstration of filarial parasite in the breast tissue or nipple secretions 2 5. Our report, nonetheless, demonstrates the possibility of non-demonstration of the parasite in tissue studies.…”

Section: Discussionmentioning

confidence: 61%

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Breast filariasis or inflammatory breast carcinoma? Reaching a diagnosis

Panda¹,

Mohapatra

2015

BMJ Case Reports

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SUMMARYLymphatic filariasis is a neglected tropical disease caused by the parasite Wuchereria bancrofti. Involvement of the breast is relatively uncommon and may affect only 10% of individuals with lymphatic filariasis. We present a case of an elderly woman with breast pathology. The condition clinically appeared as a malignancy. Routine diagnostic tests including tissue histopathological studies failed to clinch a diagnosis. However, a serological test helped in identifying the pathology, which turned out to be a manifestation of breast filariasis, and aided in instituting appropriate therapy for this condition. BACKGROUND

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Section: Discussionmentioning

confidence: 61%

“…In spite of the very similar clinical picture of both these conditions, few literature reports of one condition mimicking the other can be found 5. However, early diagnosis in those cases could be reached by demonstration of filarial parasite in the breast tissue or nipple secretions 2 5.…”

Section: Discussionmentioning

confidence: 99%

Breast filariasis or inflammatory breast carcinoma? Reaching a diagnosis

Panda¹,

Mohapatra

2015

BMJ Case Reports

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“…Kapila and Verma (1989), Azad et al (2010) reported the presence of adult filarial worms in soft tissue swellings. Chakrabarti et al (2011), Kaur et al (2009), Rukmangadha et al (2006, Kapila and Verma (1996), Naorem (2009) and Sanghamitra et al (2010) have reported adult filarial worms in breast aspirates. The adult male worms are about 40 mm long and females range between 50 and 100 mm in length.…”

Section: Discussionmentioning

confidence: 98%

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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“…The parasites circulate in lymphatic and vascular compartments but the presence of filarial organism in tissue fluids and exfoliated surface material probably occurs owing to conditions causing lymphovascular obstruction resulting in extravasations of blood and release of microfilariae. 1,12 Rupture of vessels may have led to release of microfilariae into the subcutaneous tissue. Surrounding host tissue reaction probably led to the development of a well-defined cystic swelling containing multiple microfilariae.…”

Section: Discussionmentioning

confidence: 99%

Filariasis presenting as an upper arm swelling – an unusual presentation

et al. 2018

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Filariasis is a chronic disabling parasitic disease causing a major public health problem in tropical areas of Southeast Asia. It is endemic in India, China, Nepal, Indonesia, parts of Asia and Africa. In Southeast Asia it is caused mainly by W. bancrofti and Brugia species. Microfilaria is known to be present in cytology smears prepared from swelling at various sites and also in different body fluids. However, upper arm swelling as a clinical presentation of filariasis is a very rare event. If cytology smears are screened with high index of suspicion in this group of otherwise asymptomatic patients, early institution of proper treatment can both prevent the complication of the disease as well as break the chain of transmission from healthy carriers.

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Filariasis of the Breast Mimicking Inflammatory Carcinoma

Cited by 19 publications

References 8 publications

Breast filariasis or inflammatory breast carcinoma? Reaching a diagnosis

Breast filariasis or inflammatory breast carcinoma? Reaching a diagnosis

Adult filarial worm from the breast aspirate of a young man

Filariasis presenting as an upper arm swelling – an unusual presentation

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