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Preoperative diagnosis of a breast hydatid cyst using fine-needle aspiration cytology: a case report and review of the literature
A hydatid cyst of the breast is rare and often goes unnoticed by mammography and ultrasound. Preoperative diagnosis may be performed using fine-needle aspiration cytology, which also minimizes the risk of intraoperative rupture. Case presentation We report the case of a 70-year-old Spanish woman who was diagnosed with a hydatid cyst using fine-needle aspiration cytology before surgery. Fine-needle aspiration cytology is an accurate and safe technique that can allow surgery to be avoided, especially in older patients or patients with high surgical risk.
C Benner; H Carabin; LP Sánchez-Serrano; CM Budke; D Carmena Analysis of the economic impact of cystic echinococcosis in Spain Bull World Health Organ 88, 49-57 (2010) .
- . . . As in other countries of the Mediterranean basin, it is endemic in Spain, where it remains a serious health concern in many of the affected regions 1. . . .
N Bal; NE Kocer; R Arpaci; A Ezer; F Kayaselcuk Uncommon locations of hydatid cyst Saudi Med J 29, 1004-1008 (2008) .
- . . . Mammary tissue is also very rarely affected, accounting for only 0.27% of cases 2. . . .
J Richter; A Orhun; B Grüner; I Müller-Stöver; S Reuter; T Romig; D Häussinger; P Kern Autochthonous cystic echinococcosis in patients who grew up in Germany Euro Surveill 14, pii:19229 (2009) .
- . . . Hydatid disease is an endemic illness in many parts of the world (the Mediterranean, South America, North and East Africa, Australasia, Russia and China) and, due to immigration and travel, its presence in non-endemic areas is possible 3 . . .
I Masroor; M Azeemuddin; S Khan; A Barakzai Hydatid disease of the breast Singapore Med J 51, 72-75 (2010) .
- . . . The most frequent age of presentation is 30 to 50 years old, although ages from 20 to 74 years have been reported 4 . . .
- . . . Magnetic resonance imaging may show a well-circumscribed cystic lesion with capsular enhancement, but this appearance resembles a breast abscess 4. . . .
HA Gharbi; W Hassine; MW Brauner; K Dupuch Ultrasound examination of the hydatic liver Radiology 139, 459-463 (1981) .
Durr-e-Sabih; Z Sabih; AN Khan “Congealed waterlily” sign: a new sonographic sign of liver hydatid cyst J Clin Ultrasound 24, 297-303 (1996) .
I Marinova; G Nikolov; A Michova; R Kurdova; B Petrunov Quantitative assessment of serum-specific IgE in the diagnosis of human cystic echinococcosis Parasite Immunol 33, 371-376 (2011) .
- . . . Recently, the quantitative assessment of serum-specific immunoglobulin E by the ImmunoCAP® system has been performed for the diagnosis of hydatid cysts 7 . . .
BC Yuksel; H Ozel; T Akin; FM Avsar; S Hengirmen Primary hydatid cyst of the breast with elevated CA 19–9 level Am J Trop Med Hyg 73, 368-370 (2005) .
- . . . Elevated serum values of carbohydrate antigen 19.9 were found in the serum of a 69-year-old woman with a palpable mass in her breast, and these levels decreased after resection 8 . . .
B Geramizadeh; R Boob; AR Talei; A Rasekhi Fine needle aspiration cytology in hydatid cyst of the breast Acta Cytol 47, 701-702 (2003) .
- . . . Due to the rarity of this condition, the above-mentioned mammographic and sonographic appearances of breast hydatid disease are frequently missed until an operative diagnosis has been made 9 . . .
NA Epstein Hydatid cyst of the breast: diagnosis using cytological techniques Acta Cytol 13, 420-421 (1969) .
- . . . Therefore, FNAC can provide a safe, fast, inexpensive preoperative diagnosis and allow the planning of a cystectomy, minimizing the risk of intraoperative rupture 10. . . .
A Molavipour; H Javan; AA Moghaddam; M Dastani; M Abbasi; S Ghahramani Combined medical and surgical treatment of intracardiac hydatid cysts in 11 patients J Card Surg 25, 143-146 (2010) .
- . . . One study has reported patients who underwent surgical cyst removal followed by medical treatment until the Echinococcus hemagglutination titers returned to normal 11. . . .
N Yaqoob; N Kayani; MS Shamim Mammary echinococcosis: two cases and literature review J Pak Med Assoc 54, 283-284 (2004) .
- . . . The reported recurrence rates range from 2% to 25% 12. . . .