Adult filarial worm from the breast aspirate of a young man

Microfilariae and adult filarial worm have been incidentally detected in fine needle aspirates of various lesions in clinically unsuspected cases. Here we report a male patient who presented with a tender breast nodule and single enlarged lymph node. Fine Needle Aspiration (FNA) yielded 1 ml of yell...

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Bibliographic Details
Published inJournal of parasitic diseases Vol. 40; no. 2; pp. 536 - 538
Main Authors Fernandes, Hilda, Thomas, Beena Mary, Putran, Indira
Format Journal Article
LanguageEnglish
Published New Delhi Springer India 01.06.2016
Subjects
Health Promotion and Disease Prevention
Infectious Diseases
Medicine
Medicine & Public Health
Short Communication
Breast
FNA
Adult
Filarial worm
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Summary:Microfilariae and adult filarial worm have been incidentally detected in fine needle aspirates of various lesions in clinically unsuspected cases. Here we report a male patient who presented with a tender breast nodule and single enlarged lymph node. Fine Needle Aspiration (FNA) yielded 1 ml of yellow coloured fluid and single thread like worm measuring 6 × 0.2 cm. A diagnosis of breast abscess with a worm morphologically consistent with filariasis was offered. A follow up visit after 2 months showed regression of the breast lesion and the lymph node. Filariasis of the breast is an uncommon condition and can cause a diagnostic dilemma at times. FNA cytology appears to be a more convenient and effective diagnostic tool in patients with mass lesions. Demonstration and identification of the parasite in smears helps in avoiding surgical excision and early institution of prompt therapy especially in young patients.
Bibliography:ObjectType-Article-1
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ISSN:0971-7196
0975-0703
DOI:10.1007/s12639-014-0484-9