Sonographic diagnosis of primary hydatid disease in the breast: The scroll sign

Jha, Abhishek; Gupta, Prakhar; Wahab, Shagufta; Chauhan, Narendra Pal Singh; Haroon, M; Raghuwanshi, Rajkumar Singh; Gupta, Gagan; Gupta, Ajay; Shah, Gaurav; Raghav, Deepak; Mittal, Sanjay

doi:10.1002/jcu.22160

Cited by 6 publications

(6 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Only few papers reported follow-up studies -there were no recurrences after a mean follow-up of 38 months (3-60). 5,[10][11][12]16,[22][23][24][25][26][27][28] Additionally, two cases with alveolar echinococcosis were reported in the literature (from Bulgaria and Turkey). 29,30…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

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

Mutafchiyski

Popivanov

Tabakov

et al. 2020

View full text Add to dashboard Cite

Introduction: Although the liver and lung are the most frequently affected organs in cystic echinococcosis, the cysts may develop in any viscera and tissues. Breast is a rare primary localization with few cases described in the literature. We present an updated and systematic review and discuss the possible mechanisms of spreading, diagnostic and treatment options.Materials and methods: We performed a literature search in PUBMED using the key words ‘hydatid disease’, ‘cystic echinococcosis’ and ‘breast echinococcosis’ without time limitation. Only studies reporting breast cystic echinococcosis were included.Results: Overall, 121 cases with cystic echinococcosis and 2 with alveolar echinococcosis were reported. A total of 52 cases were included in the analysis. The mean size of cysts was 5.5 cm (range 1.7-12). The most common clinical presentation was painless lump presented from 4 months to 19 years before the final diagnosis. Most cases had isolated breast CE, few cases had synchronous localizations – femoral, thigh and lung, and previous liver CE. Most were active CL and CE1-2 cysts (72%). Ultrasound was used in 83%, followed by mammography (35%). Fine needle aspiration was reported in 27 cases with positive finding in 59%.Conclusions: In cases with cystic breast lesions from endemic regions we recommend the US as a gold standard. CT and MRT are more accurate but expensive tools without the potential to change the surgical tactic. In contrast to the other localizations of CE, complete excision of the cysts is the best diagnostic and treatment approach.

show abstract

Section: Resultsmentioning

confidence: 99%

“…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]…”

Section: Discussionmentioning

confidence: 99%

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

Mutafchiyski

Popivanov

Tabakov

et al. 2020

View full text Add to dashboard Cite

show abstract

“…6 A fluid level with moving echoes may be seen due to hydatid sand composed of hooklets, membranes, and debris, which gives the appearance of the "Snowstorm". 8 Another sign, known as the "congealed water lily" sign, has been described as strongly suggestive of hydatid cysts. It appears as an increased echogenicity of cyst fluid (secondary to its increased viscosity) and an immobile germinal membrane, giving it a solid appearance.…”

Section: Discussionmentioning

confidence: 99%

“…The complete detachment of the endocyst from the pericyst leads to a floating membrane which produces the “water lily” sign 6 . A fluid level with moving echoes may be seen due to hydatid sand composed of hooklets, membranes, and debris, which gives the appearance of the “Snowstorm” 8 . Another sign, known as the “congealed water lily” sign, has been described as strongly suggestive of hydatid cysts.…”

Section: Discussionmentioning

confidence: 99%

Isolated breast hydatid cyst: Imaging features

Mazhoud

Mariem

Marwa

et al. 2022

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…It has been stated that that several classic signs of hydatid cyst of the breast upon ultrasound scan of the breast have been described including: [7,9,10].  Double wall sign in which the hydatid cyst wall is seen as 2 echogenic areas.…”

Section: Ultrasound Scan Of the Breastmentioning

confidence: 99%

Hydatid Cyst of the Breast: A Review and Update of the Literature

Venyo¹

2021

CRCT

View full text Add to dashboard Cite

Hydatid cyst of the breast is a rare infection of the breast that tends to be reported sporadically in Echinococcus infection endemic areas; nevertheless, because of increasing global travel hydatid cyst of the breast may be encountered in a non-endemic area of the world where clinicians may not be familiar with the manifestation and biological behaviour of the disease. Hydatid cyst of the breast has been reported sporadically in females whose ages have ranged between 16 years and 87 years and these cases only represent 0.27% of all cases of hydatid cyst encountered globally. Hydatid cyst of the breast does present as a lump/mass in the breast which quite often tends to be painless but it could be associated with pain/discomfort. Hydatid cyst of the breast tends to present insidiously and the lump tends to be present for a long time before attention is sought by the patient because it had behaved innocuously and had either been growing slowly with a recent noticeable increase in size over a few months. A history of previous contact with dogs and sheep as well as present or previous residence in an echinococcus endemic area tends to be helpful in alerting the clinician to the possibility of the diagnosis of hydatid cyst. A past history of treatment for echinococcal infection elsewhere in the body would also be helpful in alerting the clinician to the diagnosis of the disease. There tends to be no family history of breast cancer, and no history of previous hormone replacement therapy. The general and systematic examinations of most of the patients tend to be normal unless they have other non-related medical conditions. Clinical examination usually tends to reveal a swelling that tends to be well-circumscribed with clear margin that may be non-tender but at times there may be tenderness associated with the lump. The clinical examination findings tend to be non-specific and would usually mimic fibroadenoma, phyllodes tumour, or intra-cystic carcinoma of the breast. Usually the results of routine haematology and haematology blood tests would tend to be normal unless there is a non-related disease but there could be eosinophilia. Echinococcus hemagglutination test and Elisa test for Echinococcal IgE test would tend to be positive in cases of hydatid cyst of the breast. Various radiology imaging modalities tend to be utilized to assess hydatid cyst of the breast including mammogram, ultrasound scan of the breast, computed tomography (CT) scan of the breast, thorax, and abdomen, magnetic resonance imaging (MRI) scan of breast, thorax, and abdomen. Diagnosis of hydatid cyst of the breast tends to be diagnosed by undertaking fine needle aspiration biopsy of the breast lesion for cytology/histopathology examination or histopathology examination of excised hydatid cysts of the breast. Successful treatment of hydatid cyst of the breast requires complete excision without spillage of the hydatid cyst and additionally to minimise recurrence of disease Albendazole medication tends to be given. When there is spillage of the hydatid cyst or rupture of the hydatid cyst during the process of the excision, a thorough lavage of the operating field and excision of the surrounding tissue to ensure any possible residual daughter cysts are completely removed and utilization of Albendazole medicament would help to minimize or avoid development of recurrence. Because of the possibility of recurrence of disease a period of follow-up assessment with clinical examination and radiology imaging assessment as well as echinococcus hemagglutination tests would be recommended.

show abstract

Sonographic diagnosis of primary hydatid disease in the breast: The scroll sign

Cited by 6 publications

References 9 publications

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

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

Isolated breast hydatid cyst: Imaging features

Hydatid Cyst of the Breast: A Review and Update of the Literature

Contact Info

Product

Resources

About