Limits...
Breast Filariasis Diagnosed by Real Time Sonographic Imaging: A Case Report.

Sherwani P, Singhal S, Kumar N, Narula MK, Anand R, Pathania OP - Iran J Radiol (2016)

Bottom Line: A 30-year-old woman presented with a palpable subcutaneous nodule in the areolar region of the left breast.Sonomammographic examination revealed 2 cystic lesions showing typical "filarial dance" as vigorous twirling movement of multiple curvilinear echoes with mixed red blue color Doppler signals that was non-rhythmic, nonpulsatile, and the characteristic pulse Doppler trace due to irregular worm movement.Real time sonographic demonstration of these typical features is pathognomonic for filariasis, especially in endemic areas and treatment should be initiated without delay on the basis of ultrasound.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, Lady Hardinge Medical College, Smt Sucheta Kriplani Hospital, New Delhi, India.

ABSTRACT
A 30-year-old woman presented with a palpable subcutaneous nodule in the areolar region of the left breast. Sonomammographic examination revealed 2 cystic lesions showing typical "filarial dance" as vigorous twirling movement of multiple curvilinear echoes with mixed red blue color Doppler signals that was non-rhythmic, nonpulsatile, and the characteristic pulse Doppler trace due to irregular worm movement. Real time sonographic demonstration of these typical features is pathognomonic for filariasis, especially in endemic areas and treatment should be initiated without delay on the basis of ultrasound.

No MeSH data available.


Related in: MedlinePlus

Sonography of the left breast shows two cystic lesions, one in the subcutaneous plane (solid arrow) (A) and the other in the fatty breast parenchyma (line arrow) (B), both showing multiple curvilinear echoes with a dilated interconnecting tubular channel.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4835870&req=5

fig23512: Sonography of the left breast shows two cystic lesions, one in the subcutaneous plane (solid arrow) (A) and the other in the fatty breast parenchyma (line arrow) (B), both showing multiple curvilinear echoes with a dilated interconnecting tubular channel.

Mentions: Sonomammography was performed using a high frequency transducer of 5 - 17 MHz (Philips IU-22) that revealed a 6 × 3 mm cystic lesion containing numerous curvilinear echoes with 2 parallel walls and an anechoic central lumen, exhibiting vigorous twirling movements suggestive of “filarial dance” in the subcutaneous plane in the areolar region of the left breast. Another 2 × 2 mm cystic lesion was noted deep to the above-mentioned cyst with a tubular channel interconnecting the two cysts. The cystic lesion also showed similar curvilinear echoes with vigorous twirling movement (Video 1). Few other tubular channels were seen adjacent to these cysts that were not converging towards the nipple and the cysts were presumed to represent focally distended lymphatic ducts (Figure 2A and B).


Breast Filariasis Diagnosed by Real Time Sonographic Imaging: A Case Report.

Sherwani P, Singhal S, Kumar N, Narula MK, Anand R, Pathania OP - Iran J Radiol (2016)

Sonography of the left breast shows two cystic lesions, one in the subcutaneous plane (solid arrow) (A) and the other in the fatty breast parenchyma (line arrow) (B), both showing multiple curvilinear echoes with a dilated interconnecting tubular channel.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4835870&req=5

fig23512: Sonography of the left breast shows two cystic lesions, one in the subcutaneous plane (solid arrow) (A) and the other in the fatty breast parenchyma (line arrow) (B), both showing multiple curvilinear echoes with a dilated interconnecting tubular channel.
Mentions: Sonomammography was performed using a high frequency transducer of 5 - 17 MHz (Philips IU-22) that revealed a 6 × 3 mm cystic lesion containing numerous curvilinear echoes with 2 parallel walls and an anechoic central lumen, exhibiting vigorous twirling movements suggestive of “filarial dance” in the subcutaneous plane in the areolar region of the left breast. Another 2 × 2 mm cystic lesion was noted deep to the above-mentioned cyst with a tubular channel interconnecting the two cysts. The cystic lesion also showed similar curvilinear echoes with vigorous twirling movement (Video 1). Few other tubular channels were seen adjacent to these cysts that were not converging towards the nipple and the cysts were presumed to represent focally distended lymphatic ducts (Figure 2A and B).

Bottom Line: A 30-year-old woman presented with a palpable subcutaneous nodule in the areolar region of the left breast.Sonomammographic examination revealed 2 cystic lesions showing typical "filarial dance" as vigorous twirling movement of multiple curvilinear echoes with mixed red blue color Doppler signals that was non-rhythmic, nonpulsatile, and the characteristic pulse Doppler trace due to irregular worm movement.Real time sonographic demonstration of these typical features is pathognomonic for filariasis, especially in endemic areas and treatment should be initiated without delay on the basis of ultrasound.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, Lady Hardinge Medical College, Smt Sucheta Kriplani Hospital, New Delhi, India.

ABSTRACT
A 30-year-old woman presented with a palpable subcutaneous nodule in the areolar region of the left breast. Sonomammographic examination revealed 2 cystic lesions showing typical "filarial dance" as vigorous twirling movement of multiple curvilinear echoes with mixed red blue color Doppler signals that was non-rhythmic, nonpulsatile, and the characteristic pulse Doppler trace due to irregular worm movement. Real time sonographic demonstration of these typical features is pathognomonic for filariasis, especially in endemic areas and treatment should be initiated without delay on the basis of ultrasound.

No MeSH data available.


Related in: MedlinePlus