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患者女,54岁。2年前偶然发现右乳有一小包块,无明显疼痛不适。近数月来包块渐增大并伴有瘙痒、疼痛来诊。专科检查:右乳外上象限可触及一30 mm×30 mm包块,质中,表面欠光滑,边界欠清,可移动,腋下淋巴结无肿大。乳腺彩超检查见:右乳外上象限腺体内见一24 mm×10 mm的实性包块,边界清,内呈弯曲管状低回声,未见钙化,后方回声无衰减。提示:右乳实性包块,考虑良性病变可能,建议穿刺确诊(图1)。穿刺病理提示:嗜酸性肉芽肿。随后在局麻下行右乳包块切除术。术中见右乳外上象限一25 mm×25 mm囊性包块,包膜完整,表面光滑,切开包膜可见一条白色带状物,似寄生虫,屈曲成团,长约250 mm,宽约3～4 mm,头端膨大,并可见虫体蠕动。术后送病原微生物室鉴定,
Female patient, 54 years old. 2 years ago, I found a small parcel of right breast, no obvious pain and discomfort. In recent months, mass gradually increased and accompanied by itching, pain diagnosis. Specialist examination: the right upper quadrant of the upper quadrant can reach a 30 mm × 30 mm mass, medium, the surface is less smooth, less clear boundary, removable, underarm lymph nodes without swelling. Breast color ultrasound examination see: the right upper quadrant of the upper quadrant of the gland see a 24 mm × 10 mm solid mass, the boundary clear, was curved tubular hypoechoic, no calcification, no attenuation of the rear echo. Tip: Right breast solid mass, considering the possibility of benign lesions, it is recommended puncture diagnosis (Figure 1). Puncture pathology tips: eosinophilic granuloma. Then under local anesthesia right breast mass resection. Intraoperative see the right upper quadrant of the upper quadrant of the right upper quadrant of a 25 mm × 25 mm cystic mass, complete capsule, the surface smooth, cut the envelope visible a white ribbon, like parasites, buckling into groups, about 250 mm, Width of 3 ~ 4 mm, head dilated, and the worm can be seen moving. Postoperative pathogenic microorganism room identification,