Isolated primary hydatid disease of the breast masquerading a breast tumor: report of a case and review of the literature
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Hydatid disease commonly affects liver and lungs. The rare breast involvement is usually a part of generalized hydatid disease. Primary breast hydatidosis is exceptionally rare even in endemic area. A case of isolated primary hydatid disease of the breast is reported in an elderly Indian women presenting with a painless breast lump. On clinical and imaging evaluation, the lump masqueraded a breast tumor. Fine needle aspiration cytology and core needle biopsy of the mass were inconclusive for the tumor. Complete excision of the mass was performed, which upon histopathological examination confirmed the diagnosis of hydatid cyst. We reviewed the relevant literature with a brief discussion on management challenges. Hydatid cyst should always constitute a differential while evaluating a breast lump especially in endemic area.
KeywordsCystic echinococcosis Hydatid disease Primary hydatidosis Unusual location
The authors thanks Dr Laxman, MD, consultant radiologist, Sanya diagnostic centre Bhopal, MP, for his expert opinion on the mammogram.
Mahendra Pratap Singh contributed substantially in concept, design, drafting the work and final approval of the version to be published. Ashwani Tandon contributed substantially in acquisition, interpretation, critically analysing the data and drafting the work. Tanweerul Huda made substantial contribution in acquisition of data and drafting the work.
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Conflict of interest
All authors declare that they have no conflict of interest.
Informed and written consent to the contents of the manuscript to be published for medical, scientific and educational purposes without revealing the identity has been obtained from the patient.
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