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Cercarial Transformation and in vitro Cultivation of Schistosoma mansoni Schistosomules
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Mammary schistosomiasis: A rare case.

Samantha Chen1, Nathalie Marie Falkner2, Mireille Julia Hardie3,4

  • 1Department of General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.

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|August 2, 2022
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Summary

Mammary schistosomiasis, a rare breast condition, can mimic malignancy on mammograms. Diagnosis requires biopsy to identify calcified Schistosoma eggs, as seen in this case from the Philippines.

Keywords:
breast diseasesbreast neoplasmsmammographyparasitic diseasesschistosomiasis

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Area of Science:

  • Parasitology
  • Radiology
  • Pathology

Background:

  • Schistosomiasis is a widespread parasitic disease in developing nations, rarely affecting the breast.
  • Mammary schistosomiasis presents diagnostic challenges, often mimicking breast cancer on imaging.

Observation:

  • A case report details a patient from the Philippines with incidental microcalcifications on mammography.
  • These microcalcifications prompted further investigation into potential malignancy.

Findings:

  • Histological examination revealed calcified Schistosoma ova, confirming mammary schistosomiasis.
  • Image-guided biopsy was crucial for accurate diagnosis and excluding malignancy.

Implications:

  • This case highlights the importance of considering rare parasitic infections in breast imaging differentials.
  • Awareness of mammary schistosomiasis is vital for radiologists and pathologists, especially in endemic regions.
  • Prompt diagnosis prevents unnecessary invasive procedures for malignancy.