Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지

A Case Report of Breast Sparganosis in a Patient with Ipsilateral Breast Cancer: MRI and Ultrasonographic Findings

유방암 환자의 동측 유방에서 발견된 스파르가눔증의 증례보고: 자기공명영상 및 초음파 소견

  • Lee, Yoo-Jin (Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine and Medical Research Institute) ;
  • Choo, Ki-Seok (Department of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine and Medical Research Institute) ;
  • Bae, Young-Tae (Department of General Surgery, Pusan National University Hospital, Pusan National University School of Medicine and Medical Research Institute) ;
  • Kim, Jee-Yeon (Department of Pathology, Pusan National University Hospital, Pusan National University School of Medicine and Medical Research Institute)
  • 이유진 (부산대학교 의과대학 부산대학교병원 영상의학과) ;
  • 추기석 (부산대학교 의과대학 양산부산대학교병원 영상의학과) ;
  • 배영태 (부산대학교 의과대학 부산대학교병원 일반외과) ;
  • 김지연 (부산대학교 의과대학 부산대학교병원 병리과)
  • Received : 2010.07.08
  • Accepted : 2010.08.24
  • Published : 2010.12.01
⟨ Previous Next ⟩

Abstract

Sparganosis of the breast is a quite rare parasitic infection of humans and presents as soft tissue masses that mimic breast malignancy or benign tumor, such as fibroadenoma. We present here a case of histologically confirmed breast sparganosis in the upper inner quadrant of the right breast with coexisting breast cancer in the ipsilateral breast upper outer quadrant. Ultrasonography of breast sparganosis showed a well defined, tubular hypoechoic mass with discrete multilayered wall and tubule-in tubule appearance, surrounded by heterogenous hyperechoic areas in the subcutaneous fat layer of the breast. MRI revealed an elongated tubular structure with persistent and progressive enhancement. This is the second report concerned with the MRI and ultrasonographic findings of breast sparganosis and the first report of breast sparganosis in a patient with ipsilateral breast cancer.

유방의 스파르가눔증은 인간에 생기는 매우 드문 기생충 감염으로, 유방의 악성종양이나 섬유선종과 같은 양성종양으로 오인될 수 있는 연조직 종괴로 나타난다. 저자들은 오른쪽 유방 상외측에 유방암이 있는 환자에서 동측 유방상내측에 조직학적으로 확진된 유방 스파르가눔증의 증례를 보고한다. 유방 스파르가눔증의 초음파 소견은 유방 피하지방층의 불균질한 고에코의 영역에 의해 둘러싸인 경계가 좋은 저에코의 관모양 종괴로 나타났고 불연속적 다층의 벽과 관내 관 구조를 동반하였다. 자기공명영상소견은 지속적이고 점진적인 조영증강을 보이는 가늘고 긴 관모양 구조물로 나타났다. 본 증례는 유방의 스파르가눔증의 자기공명영상 및 초음파소견에 대한 두 번째 보고이며, 유방암 환자의 동측 유방에서 발견된 스파르가눔증에 대한 첫 번째 보고이다.

Keywords

References

  1. Kim HS, Cha ES, Kim HH, Yoo JY. Spectrum of sonographic findings in superficial breast masses. J Ultrasound Med 2005;24:663-680 https://doi.org/10.7863/jum.2005.24.5.663
  2. Cho JH, Lee KB, Yong TS, Kim BS, Park HB, Ryu KN, et al. Subcutaneous and musculoskeletal sparganosis: imaging characteristics and pathologic correlation. Skeletal Radiol 2000;29:402-408 https://doi.org/10.1007/s002560000206
  3. Park JH, Chai JW, Cho NR, Paek NS, Guk SM, Shin EH, et al. A surgically confirmed case of breast sparganosis showing characteristic mammography and ultrasonography findings. Korean J Parasitol 2006;44:151-156 https://doi.org/10.3347/kjp.2006.44.2.151
  4. Kim JE, Kim YJ, Kim MY, Han JY. A case of breast sparganosis: MR findings and ultrasonographic findings. Eur J Radiol Extra 2007;64:63-65 https://doi.org/10.1016/j.ejrex.2007.08.003
  5. Park HJ, Park NH, Lee EJ, Park CS, Lee SM, Park SI. Ultrasonographic findings of subcutaneous and muscular sparganosis. J Korean Soc Radiol 2009;61:183-187 https://doi.org/10.3348/jksr.2009.61.3.183
  6. Jeong JK, Ryu BY, Lee HW, Kim HK, Choi CS. Sparganosis of the breast. J Korean Surg Soc 1995;48:428-432
  7. Chung SY, Park KS, Lee Y, Park CK. Breast sparganosis: mammographic and ultrasound features. J Clin Ultrasound 1995;23:447-451 https://doi.org/10.1002/jcu.1870230711
  8. Moon HG, Jung EJ, Park ST. Breast sparganosis presenting as a breast mass with vague migrating pain. J Am Coll Surg 2008;207: 292 https://doi.org/10.1016/j.jamcollsurg.2008.01.067
  9. Kim YS, Hwang MS, Lee JK, Kim DS, Lee SK. US findings of breast sparganosis. J Korean Soc Med Ultrasound 2003;22:151-156
  10. Macura KJ, Ouwerkerk R, Jacobs MA, Bluemke DA. Patterns of enhancement on breast MR images: interpretation and imaging pitfalls. Radiographics 2006;26:1719-1734 https://doi.org/10.1148/rg.266065025