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Case 283: Breast Filariasis.

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This case study highlights a 44-year-old woman with breast swelling. Ultrasound-guided fine-needle aspiration cytology confirmed the diagnosis, leading to appropriate treatment.

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Area of Science:

  • Oncology
  • Radiology
  • Pathology

Background:

  • A 44-year-old woman presented with a month of right breast swelling, redness, pain, and itching.
  • She also reported malaise and chills over six months, with no history of trauma or hypercoagulable state.

Observation:

  • Physical examination revealed diffuse right breast enlargement, erythema, prominent superficial veins, and palpable masses with skin induration.
  • Axillary lymphadenopathy was noted. Laboratory tests showed mild anemia and elevated erythrocyte sedimentation rate.

Findings:

  • Mammography and ultrasound (US) were performed. Real-time US demonstrated mobile structures.
  • Ultrasound-guided fine-needle aspiration cytology was crucial for confirming the diagnosis.

Implications:

  • This case underscores the importance of comprehensive diagnostic evaluation, including advanced imaging and cytology, for breast abnormalities.
  • Timely diagnosis and treatment are essential for managing breast conditions effectively.