Hydatid Cyst of the Breast

Abstract

A 52-year-old woman suffering from painful breast mass presented to general surgery department for evaluation of possible breast carcinoma. She had a history of painless slowly growing breast mass for 19 years, but she complained of breast pain for the last 2 months. Till this age, she had never before undergone ultrasonomammographic examination. On physical examination, approximately a 13-cm large mass was detected in the lower inner quadrant of the left breast.Ultrasonomammography revealed a 10-cm diameter well circumscribed anechoic lesion at 7-o'clock position and a 3 cm diameter heterogeneous calcified semi-solid lesion at 9-o'clock position (Fig. 1). On breast MRI, an 11-cm diameter cystic mass accompanying by a 4-cm diameter heterogeneous calcified cyst lesion were detected (Fig. 2). Ultrasound-guided cyst aspiration for the cystic lesion and core biopsy for the solid lesion were performed. Histological examination of (b) (c) (a) Figure 4. Histology of granular cell tumor of the breast. (a) Photomicrograph of the circumscribed tumor in Fig. 2b shows sheets of large polygonal cells with round to oval nuclei and abundant eosinophilic cytoplasmic granules (inset). Note the scant fibrous stroma. (Hematoxylin-eosin stain; original magnification 100·; inset 400·). (b) Photomicrograph of the spiculated tumor in Fig. 3 show cords of large polygonal cells on a background of dense stromal fibrosis, in contrast with the scant fibrous tissue in A. (Hematoxylin-eosin stain, original magnification 100·). (c) The cells stain positive for S-100 protein, a marker for cells of neural or neuroectodermal origin. Note the eccentrically located nuclei and cytoplasmic granules (S-100 stain; original magnification 400 ·).Figure 1. Breast MRI demonstrate a 11-cm diameter cystic mass accompanying by a 4-cm diameter heterogeneous calcified cyst lesion.

Oxalate induces breast cancer

“…Oxalate has also been found as an inert metabolic end product because mammalian cells cannot metabolize it. Oxalate is an organic dicarboxylate that may be present as free oxalic acid, as soluble salts such as sodium or potassium oxalates, or as insoluble salts such as calcium oxalate crystals [ 13 , 14 ]. Additionally, oxalate is produced by many kinds of cells, including liver cells, kidney, epithelial cells and apocrine cells, among others [ 8 , 12 , 15 – 18 ].…”

Cystic Echinococcosis of the Breast - Diagnostic Dilemma or just a Rare Primary Localization

“…9,10,21,34 Distribution of cases by country. Turkey 2,5,7,12,17,18,22,33,34,[37][38][39]45,[47][48][49][50][51][52][53][54] , Israel 55 , Jordan 23,56 , Saudi Arabia 36,57 , Iran 24,25 , Afghanistan 25,58 , Pakistan 8,11,59,60 , India 9,10,13,16,26,40,44,46,[61][62][63][64][65][66][67][68]…”

“…16,36,37,44 Both modalities allow for more precise imaging of the lesions, but actually they are expensive and more importantly, the finding could not change the surgical tactic. 5,16,36,37,[44][45][46] In general, the management of CE depends on localization and type of the cysts. For example, inactive (type CE 4 and CE 5) and uncomplicated liver cysts require no treatment.…”