An overview of 13 published reports and the present case.
Authors | Age (years) | Presentation | FNAC | Imaging | Treatment | Histopathology |
Lucarelli et al., 2008 | 63 | Breast-WNL | … | CT scan brain: two well-defined lesions in the brain similar to T. solium larvae Mammogram: tubular, worm-like structure suggestive of calcified larvae in the intermuscular area of the pectoral major of left breast | Excision followed by albendazole | Characteristic scolex, with four suckers and a double row of hooks |
Sinha et al., 2008 | 65 | Painless, mobile lump(1×1 cm) in the left breast | … | Mammogram: a small high-density lesion with round, well-defined margins in the upper outer quadrant Ultrasound: an anechoic lesion with a central hyperechoic focus, consistent with a scolex | Excision biopsy | … |
Agnihotri et al., 2006 | 22 | Non-tender lump on right breast | … | … | Excision biopsy | Three-layered wall of the cysticercus. Multinucleated giant cells and foreign body granulomas in the wall of the cyst |
Conde et al., 2006 | 26 | Painless, mobile mass (2.0 cm) in the right breast | … | Ultrasonography: an oval nodule with circumscribed margins, hypoechoic homogeneous content and posterior enhancement | Resection of the mass | Cystic cavity containing larvae, consistent with cysticerci |
Sah et al., 2001 | 25 | Painless, mobile, firm lump (3.5×2.5 cm) on right breast | … | … | Excision biopsy | Main mass consistent with fibroadenoma, inside which there was a nodule containing scolex with feature of cysticercous cellulose |
Sahai et al., 2002 | 22 | Breast lump, 2×1 cm | Clear, acellular fluid | … | … | Cysticercus |
43 | Breast lump, 1.5×1 cm | Eo, AIE, palisading histiocytes, cysticercus | … | … | … | |
35 | Breast lump, 1×1 cm | Cysticercus | … | … | … | |
30 | Breast lump, 1×1 cm | Eo, AIE, palisading histiocytes, cysticercus | … | … | … | |
30 | Breast lump, 15×2 cm | Few polys, Eo, cysticercus | … | … | … | |
32 | Breast lump, 2×2 cm | Eo, AIE, palisading histiocytes, cysticercus | … | … | … | |
42 | Breast lump, 1×1.5 cm | Eo, AIE, palisading histiocytes, degenerating cysticercus infiltrated by polys, giant cells, BDC | … | … | … | |
16 | Brest lump, 2×2 cm | Few polys, cysticercus | … | … | … | |
49 | Brest lump, 3×3 cm | Few polys, Eo, palisading histiocytes, cysticercus | … | … | … | |
45 | Breast lump, 2×3 cm | Eo, AIE, palisading histiocytes, cysticercus, BDC | … | … | … | |
35 | Breast lump, 2×2 cm | Eo, AIE, palisading histiocytes, FBGC, cysticercus | … | … | … | |
30 | Breast lump, 4×3 cm | Palisading histiocytes, cysticercus | … | … | … | |
30 | Breast lump, 2×3 cm | Eo, AIE, palisading histiocytes, cysticercus | … | … | … | |
49 | Breast lump, 2×3 cm | Eo, AIE, palisading histiocytes, degenerating cysticercus infiltrated by polys, calcareous corpuscles | … | … | … | |
15 | Breast lump, 2×3 cm | Few polys, palisading histiocytes, cysticercus | … | … | … | |
14 | Breast lump, 3×3 cm | AIE, degenerating cysticercus infiltrated by polys | … | … | … | |
Amatya and Kimula, 1999* | ||||||
Kapila and Verma,1996† | ||||||
Vuong, 1989 | 30 | Breast mass, 2 cm | Inflammatory cells mixed with spiked spherules | Excision biopsy | Scolex with four large suckers | |
Alagaratnam et al.,1988 | 43 | Breast lump, 0.5 cm | No cellular elements | … | Excision biopsy | Rostellum bearing hooklets |
Kunkel and Hawksley, 1987 | 25 | Well-demarcated breast mass, 1 cm | … | … | Excision biopsy | Parasite with an invaginated scolex |
Leggett, 1983 | 29 | Breast lump, 1.5 cm | … | … | Excision biopsy | Scolex with hooklets and suckers |
Chi and Chi, 1978‡ | ||||||
Bhattacharjee et al., 2011 | 54 | Painless, hard, breast lump, 2×2 cm | Clear fluid, the cytology of which revealed macrophages and eosinophils | Mammogram: small dot-like calcification with a surrounding halo | Wide local excision followed by albendazole | Scolex at the cephalic end of the parasite |
Ultrasonography- well-defined round cyst within a collection and a brightly echogenic protrusion from the wall |
WNL, within normal limit; AIE, acute inflammatory exudate; BDC, benign ductal cells; Eo, eosinophils; FBGC, foreign body giant cells; polys, polymorphonuclear leucocytes.
The paper document five cases of cysticersosis of the breast among 23 402 biopsy specimens examined over 5 years; no detailed data of these particular cases were presented.
The paper represents the first eight cases of Sahai et al. (2002).
This paper reported 191 cases of cysticercosis, of which seven cases were seen in the breast. No details of the individual cases were presented.