Lymphatic filariasis: Aspiration of adult gravid female worm from a soft tissue swelling

Filariasis is major public health hazard particularly in tropical countries like India. The presence of microfilaria using fine needle aspiration cytology has been reported from various sites. However, the presence of the adult gravid filarial worm with a surrounding host response has rarely been reported on breast aspirates. Here, we report a unique case in which aspiration cytology from a breast lump clinically suspicious of fibroadenosis of the breast, showed adult filarial worms with numerous microfilariae and a granulomatous inflammatory host response. The filarial worm appears to be ubiquitous in endemic areas, and the presence of an unexplained granulomatous lesion in breast should prompt a careful consideration of the filarial etiology in our country. Therapy with diethylcarbamazine, albendazole, and antibiotics are sufficient for treatment of this type of lesion.

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“…[8] and Azad, et al . [9] reported the presence of adult filarial worms in soft tissue swellings. Satpathi et al .…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2011

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“…[ 5 ], reports of adult worms in cytological aspirates are sparse. Pandit et al [ 8 ] and Azad et al [ 9 ] reported the presence of adult filarial worms in soft tissue swellings. Satpathi et al [ 10 ], Pal et al [ 11 ], Chakarbarti et al [ 3 ] and Naorem et al [ 12 ] have reported cases of adult filarial worms in the breast aspirate.…”

Section: Discussionmentioning

confidence: 99%

Incidental detection of two adult gravid filarial worms in breast: a case report

et al. 2017

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BackgroundMicrofilaria is a major public health problem in tropical and subtropical countries and is an endemic problem in India. Wuchereria bancrofti is the commonest filarial infection. In some lesions, microfilariae and adult filarial worm have been incidentally detected in fine-needle aspirates.Case presentationA 35 year old hindu female presented with lump in upper outer quadrant of left breast. Fine needle aspiration revealed two adult gravid female filarial worms.ConclusionTo our knowledge this is the first ever case report to demonstrate two live gravid female and embryoid forms in wet mount preparation.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-017-2709-3) contains supplementary material, which is available to authorized users.

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“…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). 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.…”

Section: Discussionmentioning

confidence: 99%

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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Lymphatic filariasis: Aspiration of adult gravid female worm from a soft tissue swelling

Cited by 8 publications

References 2 publications

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

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

Incidental detection of two adult gravid filarial worms in breast: a case report

Adult filarial worm from the breast aspirate of a young man

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