J Korean Soc Radiol.  2015 Sep;73(3):164-167. 10.3348/jksr.2015.73.3.164.

Recurrent Breast Sparganosis: Clinical and Radiological Findings

• Park J
• Woo OH
• Cho KR
• Seo BK

• KMID: 2043606
• DOI: http://doi.org/10.3348/jksr.2015.73.3.164

Abstract

We report a case of recurrent sparganosis of the breast within 6 months following surgical removal of worms from the breast. The patient was referred to our hospital with a palpable mass in the right breast. On admission, breast ultrasonography revealed a tortuous tubular hypoechoic lesion with indistinct margins within a surrounding hyperechoic area, which strongly suggested sparganosis. We performed surgical excision and confirmed sparganosis. After 6 months, the patient detected a new mass in her right breast and visited our hospital. Breast ultrasonography revealed similar features in a different area of the same breast. We confirmed recurrent sparganosis surgically.

MeSH Terms

Breast*
Humans
Recurrence
Sparganosis*
Ultrasonography
Ultrasonography, Mammary

Figure

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  Fig. 1 A 62-year-old woman with breast sparganosis. A, B. Grayscale coronal and sagittal ultrasonography reveals a tortuous tubular hypoechoic lesion with indistinct margins within a surrounding hyperechoic area in the right breast at the 9 o'clock position. C. Color Doppler ultrasonography shows increased peripheral vascularity of the lesion. D. Pathological examination demonstrates ivory-white, ribbon-like worms from the right breast, confirming the diagnosis of sparganosis.

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  Fig. 2 The same patient with recurrent breast sparganosis 6 months following surgery. A, B. Breast mammography reveals a lobulated, circumscribed, isodense mass in the right breast upper outer quadrant (arrow). C, D. Grayscale ultrasonography shows a tortuous tubular hypoechoic region in a different area of the right breast (at the 5 o'clock position). E. Pathological examination demonstrates ivory-white worms from the right breast, confirming the diagnosis of sparganosis.

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