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KMID : 1114620130100010035
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Journal of the Korean Society for Breast Screening
2013 Volume.10 No. 1 p.35 ~ p.39
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An Atypical Image Finding of Breast Sparganosis: A Case Report
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Ko Kyoung-Ran
Kil Sung-Won
Choi Ji-Soo
Suh Hee-Jung
Kwon Young-Mee
Ro Jae-Yun
Kim Seok-Won
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Abstract
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Sparganosis of the breast is rare and most cases have been reported from Korea and China. Typical radiologic findings of breast sparganosis have been described as elongated folded band- or tubular structures in both mammography and ultrasonography (US). A 69-year-old woman with a history of a surgery for right side lung cancer one year ago presented with a painless growing soft tissue mass in her left breast, and was transferred to the breast department with a clinical diagnosis of metastatic lung cancer to the breast. An 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT showed a mildly increased uptake of the mass. Subsequent US revealed a relatively well circumscribed, heterogeneously high echoic mass at 2 o’clock site in her left breast. And the result of US-guided biopsy, however, demonstrated an abscess cavity containing sparganum. Although increased FDGPET/CT uptakes in the breast are more frequently noted in the patients with malignancy as primary or metastasis, not all the increased uptake lesions are revealed to malignancies as seen in this case. US could be helpful in both diagnosis and biopsy, if necessary. Here we report a case of breast parganosis with clinically unusual presentation that was associated with atypical image findings.
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KEYWORD
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Sparganum, Sparganosis, Breast, Mammography, Ultrasound, PET-CT
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