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Myiasis associated with an invasive ductal carcinoma of the left breast: case study
Most breast cancers originate in the ductal epithelium and are referred to as invasive ductal carcinoma. In this study we report on the clinical procedures adopted to diagnose myiasis in association with infiltrating metastatic breast carcinoma in a female patient. A 41 years old woman came to the F...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Instituto de Medicina Tropical
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459542/ https://www.ncbi.nlm.nih.gov/pubmed/28591263 http://dx.doi.org/10.1590/S1678-9946201759035 |
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author | Rodrigues, Felipe Tavares Klemig, Larissa Raquel Cardozo, Marcos Roberto Pereira Alves, Paulo Cesar Aguiar, Valéria Magalhães Lessa, Claudia Soares |
author_facet | Rodrigues, Felipe Tavares Klemig, Larissa Raquel Cardozo, Marcos Roberto Pereira Alves, Paulo Cesar Aguiar, Valéria Magalhães Lessa, Claudia Soares |
author_sort | Rodrigues, Felipe Tavares |
collection | PubMed |
description | Most breast cancers originate in the ductal epithelium and are referred to as invasive ductal carcinoma. In this study we report on the clinical procedures adopted to diagnose myiasis in association with infiltrating metastatic breast carcinoma in a female patient. A 41 years old woman came to the Federal Hospital of Andaraí complaining of intense itching, warmth, redness and hardening of the breast, which had acquired the aspect of an orange peel. A lesion in the left breast was cavitated, dimpled, had fetid odor, and had fibrotic and infected air nodules filled with exudate and Dipteran larvae. The tissue was cleaned and 33 larvae were extracted. The patient was hospitalized and received Ivermectin. Eighteen of the larvae extracted from the patient were placed in 70% alcohol, and twelve were placed in a container with sterile wood shavings under controlled conditions until they metamorphosed into adults. The taxonomic identification of the flies revealed that the culprit was Cochliomyia hominivorax. A histopathological exam conducted three months earlier had revealed infiltrating ductal carcinoma. Two months after the myiasis treatment, the breast tissue had healed. The patient had waited ten days from the onset of the myiasis to seek treatment, and that delay interfered negatively in the prognosis of both the neoplasm and the myiasis. This study is relevant to public health in view of the strong social impact of myiasis. |
format | Online Article Text |
id | pubmed-5459542 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Instituto de Medicina Tropical |
record_format | MEDLINE/PubMed |
spelling | pubmed-54595422017-06-13 Myiasis associated with an invasive ductal carcinoma of the left breast: case study Rodrigues, Felipe Tavares Klemig, Larissa Raquel Cardozo, Marcos Roberto Pereira Alves, Paulo Cesar Aguiar, Valéria Magalhães Lessa, Claudia Soares Rev Inst Med Trop Sao Paulo Case Report Most breast cancers originate in the ductal epithelium and are referred to as invasive ductal carcinoma. In this study we report on the clinical procedures adopted to diagnose myiasis in association with infiltrating metastatic breast carcinoma in a female patient. A 41 years old woman came to the Federal Hospital of Andaraí complaining of intense itching, warmth, redness and hardening of the breast, which had acquired the aspect of an orange peel. A lesion in the left breast was cavitated, dimpled, had fetid odor, and had fibrotic and infected air nodules filled with exudate and Dipteran larvae. The tissue was cleaned and 33 larvae were extracted. The patient was hospitalized and received Ivermectin. Eighteen of the larvae extracted from the patient were placed in 70% alcohol, and twelve were placed in a container with sterile wood shavings under controlled conditions until they metamorphosed into adults. The taxonomic identification of the flies revealed that the culprit was Cochliomyia hominivorax. A histopathological exam conducted three months earlier had revealed infiltrating ductal carcinoma. Two months after the myiasis treatment, the breast tissue had healed. The patient had waited ten days from the onset of the myiasis to seek treatment, and that delay interfered negatively in the prognosis of both the neoplasm and the myiasis. This study is relevant to public health in view of the strong social impact of myiasis. Instituto de Medicina Tropical 2017-06-01 /pmc/articles/PMC5459542/ /pubmed/28591263 http://dx.doi.org/10.1590/S1678-9946201759035 Text en http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Rodrigues, Felipe Tavares Klemig, Larissa Raquel Cardozo, Marcos Roberto Pereira Alves, Paulo Cesar Aguiar, Valéria Magalhães Lessa, Claudia Soares Myiasis associated with an invasive ductal carcinoma of the left breast: case study |
title | Myiasis associated with an invasive ductal carcinoma of the left breast: case study |
title_full | Myiasis associated with an invasive ductal carcinoma of the left breast: case study |
title_fullStr | Myiasis associated with an invasive ductal carcinoma of the left breast: case study |
title_full_unstemmed | Myiasis associated with an invasive ductal carcinoma of the left breast: case study |
title_short | Myiasis associated with an invasive ductal carcinoma of the left breast: case study |
title_sort | myiasis associated with an invasive ductal carcinoma of the left breast: case study |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459542/ https://www.ncbi.nlm.nih.gov/pubmed/28591263 http://dx.doi.org/10.1590/S1678-9946201759035 |
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