A case of breast sparganosis
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A 29-year-old Korean woman visited the Department of Surgery in MizMediHospital with a palpable itching mass on the right breast that had existed for the past 7months. She had no history to eat either frogs or snakes, but had the history of drinkingimpure water. Sonography revealed a serpiginous hypoechoic tubular structure associatedwith partial fat necrosis in breast parenchymal layer and subcutaneous fat layer. It alsorevealed oval cystic lesions. At operation, an ivory white opaque ribbon-like worm thatmeasured 16.5 cm in length and 0.5 cm in width was extracted. Anti-sparganum specificserum IgG level in the patient s serum (absorbance = 0.71), measured by ELISA, wasfound to be significantly higher than those of normal controls (cut off point = 0.21).Sonography and ELISA appear to be helpful to diagnose sparganosis. Breast sparganosisis rarely found throughout the world.
Abstract
A 29-year-old Korean woman visited the Department of Surgery in MizMediHospital with a palpable itching mass on the right breast that had existed for the past 7months. She had no history to eat either frogs or snakes, but had the history of drinkingimpure water. Sonography revealed a serpiginous hypoechoic tubular structure associatedwith partial fat necrosis in breast parenchymal layer and subcutaneous fat layer. It alsorevealed oval cystic lesions. At operation, an ivory white opaque ribbon-like worm thatmeasured 16.5 cm in length and 0.5 cm in width was extracted. Anti-sparganum specificserum IgG level in the patient s serum (absorbance = 0.71), measured by ELISA, wasfound to be significantly higher than those of normal controls (cut off point = 0.21).Sonography and ELISA appear to be helpful to diagnose sparganosis. Breast sparganosisis rarely found throughout the world.