A rare phenotype of breast hydatid cyst causing misdiagnosis and unnecessary intervention: a case report
Hydatid cyst (cystic echinococcosis) is a chronic parasitic infection by the larval stage of the cestode that is called Echinococcus granulosus (E. granulosus) resulting in the development of cystic lesions in animals and humans. In this report, we describe a rare phenotype of hydatid cyst in the br...
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doaj-7710e6343cac449487457fc37cfd79592021-10-01T04:54:57ZengElsevierRadiology Case Reports1930-04332021-11-01161132263230A rare phenotype of breast hydatid cyst causing misdiagnosis and unnecessary intervention: a case reportAmal A. Alareqi, MD0Sultan Abdulwadoud Alshoabi, MD1Fahad H. Alhazmi, PhD2Abdullgabbar M. Hamid, MD3Walaa M. Alsharif, PhD4Moawia B. Gameraddin, PhD5Department of Radiology, University of Science and Technology Hospital (USTH), Sana'a, Republic of Yemen; Radiology department, 21 September university of medical and applied sciences, Sana'a, Republic of YemenDepartment of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia; Corresponding author.Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi ArabiaDepartment of Radiology, Rush University Medical Center, Chicago, IL, USADepartment of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi ArabiaDepartment of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi ArabiaHydatid cyst (cystic echinococcosis) is a chronic parasitic infection by the larval stage of the cestode that is called Echinococcus granulosus (E. granulosus) resulting in the development of cystic lesions in animals and humans. In this report, we describe a rare phenotype of hydatid cyst in the breast of a 23-year-old female presented with breast mass in the left upper outer quadrant for 3 months with palpable left axillary lymph nodes. Both US and mammography provided a picture of complex suspicious cystosolid lesion with amorphous micro-calcification (BIRAD-4A). Surgical consultation was performed and Tru-Cut biopsy was recommended. Histopathology results revealed multiple viable protoscolices of E. granulosus and suggested the final diagnosis of breast hydatid cyst. The patient returned with ruptured and infected hydatid cyst of the breast and started treatment with Albendazole 400 mg twice daily in addition to antibiotics. Following-up after two months of Albendazole treatment showed a dramatic shrinkage in the size of the cystic lesion. In conclusion, hydatid cyst should be considered as a differential diagnosis of any cystic or cystosolid lesion in the breast and any organ in the body from head to toe apart from the hair and nails. Radiologists should be aware to the benign lesions that may mimic breast cancer to avoid misdiagnosis and unnecessary invasive procedures and consequent complications.http://www.sciencedirect.com/science/article/pii/S1930043321005264Breast hydatid cystAbnormal morphologyBIRAD-4Ultrasound imagingMammographyTru-Cut biopsy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Amal A. Alareqi, MD Sultan Abdulwadoud Alshoabi, MD Fahad H. Alhazmi, PhD Abdullgabbar M. Hamid, MD Walaa M. Alsharif, PhD Moawia B. Gameraddin, PhD |
spellingShingle |
Amal A. Alareqi, MD Sultan Abdulwadoud Alshoabi, MD Fahad H. Alhazmi, PhD Abdullgabbar M. Hamid, MD Walaa M. Alsharif, PhD Moawia B. Gameraddin, PhD A rare phenotype of breast hydatid cyst causing misdiagnosis and unnecessary intervention: a case report Radiology Case Reports Breast hydatid cyst Abnormal morphology BIRAD-4 Ultrasound imaging Mammography Tru-Cut biopsy |
author_facet |
Amal A. Alareqi, MD Sultan Abdulwadoud Alshoabi, MD Fahad H. Alhazmi, PhD Abdullgabbar M. Hamid, MD Walaa M. Alsharif, PhD Moawia B. Gameraddin, PhD |
author_sort |
Amal A. Alareqi, MD |
title |
A rare phenotype of breast hydatid cyst causing misdiagnosis and unnecessary intervention: a case report |
title_short |
A rare phenotype of breast hydatid cyst causing misdiagnosis and unnecessary intervention: a case report |
title_full |
A rare phenotype of breast hydatid cyst causing misdiagnosis and unnecessary intervention: a case report |
title_fullStr |
A rare phenotype of breast hydatid cyst causing misdiagnosis and unnecessary intervention: a case report |
title_full_unstemmed |
A rare phenotype of breast hydatid cyst causing misdiagnosis and unnecessary intervention: a case report |
title_sort |
rare phenotype of breast hydatid cyst causing misdiagnosis and unnecessary intervention: a case report |
publisher |
Elsevier |
series |
Radiology Case Reports |
issn |
1930-0433 |
publishDate |
2021-11-01 |
description |
Hydatid cyst (cystic echinococcosis) is a chronic parasitic infection by the larval stage of the cestode that is called Echinococcus granulosus (E. granulosus) resulting in the development of cystic lesions in animals and humans. In this report, we describe a rare phenotype of hydatid cyst in the breast of a 23-year-old female presented with breast mass in the left upper outer quadrant for 3 months with palpable left axillary lymph nodes. Both US and mammography provided a picture of complex suspicious cystosolid lesion with amorphous micro-calcification (BIRAD-4A). Surgical consultation was performed and Tru-Cut biopsy was recommended. Histopathology results revealed multiple viable protoscolices of E. granulosus and suggested the final diagnosis of breast hydatid cyst. The patient returned with ruptured and infected hydatid cyst of the breast and started treatment with Albendazole 400 mg twice daily in addition to antibiotics. Following-up after two months of Albendazole treatment showed a dramatic shrinkage in the size of the cystic lesion. In conclusion, hydatid cyst should be considered as a differential diagnosis of any cystic or cystosolid lesion in the breast and any organ in the body from head to toe apart from the hair and nails. Radiologists should be aware to the benign lesions that may mimic breast cancer to avoid misdiagnosis and unnecessary invasive procedures and consequent complications. |
topic |
Breast hydatid cyst Abnormal morphology BIRAD-4 Ultrasound imaging Mammography Tru-Cut biopsy |
url |
http://www.sciencedirect.com/science/article/pii/S1930043321005264 |
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