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World Journal of Surgery

Published in:

01-03-2011

Cases and Literature Review of Breast Sparganosis

Authors: MinYoung Koo, Jung-Han Kim, Jee Soo Kim, Jeong Eon Lee, Seok Jin Nam, Jung-Hyun Yang

Published in: World Journal of Surgery | Issue 3/2011

Abstract

Background

Sparganosis is a seldom encountered disease of the breast. Based on the results of previous studies and our own experience, we investigated the clinical characteristics of breast sparganosis.

Method

Four patients who were treated for breast sparganosis at Samsung Medical Center were included in the study, and additional data were retrieved from the Index Medicus and the Science Citation Index (SCI). The Korean Medical (KM) database and the Korean Association of Medical Journal Editors (KAMJE) database were searched to include information from Korean journals that is not included in international citation indexes.

Results

Among 35 patients, 8 (32%) had a record of oral ingestion of an intermediary host. All patients presented with a breast mass, with migration in 6 cases (25%) and pain or an itching sensation in 6 cases (25%). Elongated tubular structures were found in the subcutaneous layer in 22 cases (88%) during radiologic exam. All patients underwent complete surgical excision. Twenty-seven of 29 (93.1%) patients’ spargana was separated and confirmed grossly. Histologically, granulomatous inflammation was the most common feature. A single worm was extracted in 16 cases (76.2%) and 5 cases (23.8%) had multiple worms.

Conclusion

Sparganosis tends to present as a suspicious mass in the subcutaneous layer of the breast. Complete surgical excision is the treatment of choice, with careful postoperative surveillance.

Min DY (1990) Cestode infections in Korea. Kisaengchunghak Chapchi 28(Suppl):123–144PubMed

Cho SY, Bae JH, Seo BS (1975) Some aspects of human sparganosis in Korea. Kisaengchunghak Chapchi 13:60–77PubMed

Park JH, Chai JW, Cho N et al (2006) A surgically confirmed case of breast sparganosis showing characteristic mammography and ultrasonography findings. Korean J Parasitol 44:151–156CrossRefPubMed

Jung PJ, Yoo BO, Park CK et al (1981) A case of human sparganosis in the breast. J Korean Surg Soc 23:269–271

Chi HS, Chi JG (1978) A histopathological study on human cysticercosis. Kisaengchunghak Chapchi 16:123–133PubMed

Park JM, Hwang JC, Choi YB (1996) Sparganosis of the breast: a case report. J Korean Radiol Soc 34:843–845

Moon HG, Jung EJ, Park ST (2008) Breast sparganosis presenting as a breast mass with vague migrating pain. J Am Coll Surg 207:292CrossRefPubMed

Pampiglione S, Fioravanti ML, Rivasi F (2003) Human sparganosis in Italy. Case report and review of the European cases. APMIS 111:349–354CrossRefPubMed

Wiwanitkit V (2005) A review of human sparganosis in Thailand. Int J Infect Dis 9:312–316CrossRefPubMed

10.

Chan AB, Wan SK, Leung SL et al (2004) Sparganosis of the breast. Histopathology 44:510–511CrossRefPubMed

11.

Moreira MA, de Freitas R Jr, Gerais BB (1997) Granulomatous mastitis caused by sparganum. A case report. Acta Cytol 41:859–862PubMed

12.

Norman SH, Kreutner A Jr (1980) Sparganosis: clinical and pathologic observations in ten cases. South Med J 73:297–300PubMed

13.

Shorey H, Walker J, Biggs BA (2000) Clinical parasitology. University Press, Melbourne

14.

Wittner M, Tanowitz HB (2001) Other cestode infection. In: Walker DH, Weller PF (eds) Essentials of tropical infectious disease. Churchill Livingstone, New York, pp 490–491

15.

Lee BJ, Ahn SK, Kim SC et al (1992) Clinical and histopathologic study of sparganosis. Korean J Dermatol 30:168–174

16.

Chi JG, Chi HS, Lee SH (1980) Histopathologic study on human sparganosis. Kisaengchunghak Chapchi 18:15–23PubMed

17.

Park KS, Lee Y, Chung SY et al (1993) Soft tissue sparganosis. J Korean Radiol Soc 29:1288–1294

18.

Choi YH, Oh HJ, Jeong YK et al (1992) A case of multiple sparganosis in female breast. J Korean Surg Soc 43:300–304

19.

Kim JE, Kim YJ, Kim MY et al (2007) A case of breast sparganosis: MR findings and ultrasonographic findings. Eur J Radiol 64:63–65CrossRef

20.

Yeo IS, Yong TS, Im K (1994) Serodiagnosis of human sparganosis by a monoclonal antibody-based competition ELISA. Yonsei Med J 35:43–48PubMed

21.

Nha SG, Cho WH, Lim TJ et al (1987) A case of sparganosis in female breast. J Korean Surg Soc 32:473–475

22.

Park CK, Hwang WC (1992) Sparganosis of the breast. Human Sci 16:327–330

23.

Jeong JK, Ryu BY, Lee HW et al (1995) Sparganosis of the breast. J Korean Surg Soc 48:428–432

24.

Chung SY, Park KS, Lee Y et al (1995) Breast sparganosis: mammographic and ultrasound features. J Clin Ultrasound 23:447–451CrossRefPubMed

25.

Chang YK, Kim KC, Cho HJ (2000) Sparganosis in the female breast. J Korean Surg Soc 58:285–287

26.

Sim S, You JK, Lee IY et al (2002) A case of breast sparganosis. Korean J Parasitol 40:187–189CrossRefPubMed

27.

Kim YS, Hwang MS, Lee JK et al (2003) US findings of breast sparganosis. J Korean Soc Med Ultrasound 22:151–156

28.

Hwang MR, Park YL, Bae WG (2006) Sparganosis: two case report. J Breast Cancer 9:254–257

Title: Cases and Literature Review of Breast Sparganosis
Authors: MinYoung Koo
Jung-Han Kim
Jee Soo Kim
Jeong Eon Lee
Seok Jin Nam
Jung-Hyun Yang
Publication date: 01-03-2011
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 3/2011
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-010-0942-1

At a glance: The STEP trials

Springer Medicine

Cases and Literature Review of Breast Sparganosis

Abstract

Background

Method

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Method

Results

Conclusion

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