Mycetoma of the Breast: A Case Report

Authors

  • Meilany Durry Universitas Sam Ratulangi
  • Lily L. Loho Universitas Sam Ratulangi

DOI:

https://doi.org/10.35790/msj.v5i2.44625

Abstract

Abstract: Mycetoma is a chronic suppurative infection affecting skin, subcutaneous tissue, and bones which is common in tropical and subtropical regions. The manifestations of mycetoma are painless subcutaneous mass, multiple sinuses and purulent or seropurulent discharge that may contain grains. We reported a case of a 39-year-old female with a complaint of skin mass with discharge in her left breast for about a year. The clinical diagnosis was a breast tumour with suspicion of malignancy. A histopathological examination of the breast biopsy was performed which showed foci of granulomas consisting of chronic inflammatory cells, foamy macrophages, and many multinucleated cells. In several granulomas, there were eosinophilic masses with hypha in the peripheral and arranged radially. In conclusion, based on clinical and histopahological examinations the diagnosis of this case was a mycetoma of the breast.

Keywords: mycetoma; breast; deep mycosis; mammary infection; pathological diagnosis

Author Biographies

Meilany Durry, Universitas Sam Ratulangi

Departement of Pathology, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia

Lily L. Loho, Universitas Sam Ratulangi

Pusat Diagnostik Patologi Anatomi (PDPA), Manado, Indonesia

References

Athar M, Kumar A, Mishra V, Kumar N. Mycetoma of breast. Asian Pac J Health Sci. 2020; 7(1):40-2.

Relhan V, Mahajan K, Agarwal P, Garg VK. Mycetoma: an update. Indian J Dermatol. 2017;62(4):332-40.

Hamad MNM. The role of mycotoxin in mycetoma pathogenesis. SAR J Med. 2022;3(2):15-18.

Musa EA, Abdoon IH, Bakhiet SM, Osman B, Abdalla SA, Fahal AH. Mycetoma management and clinical outcomes: The mycetoma research center experience. Trans R Soc Trop Med Hyg. 2023; 117(1):12-21.

Elgallali N, El Euch D, Cheikhrouhou R, Belhadj S, Chelly I, Chaker E, Ben et al. Les mycétomes en Tunisie: 15 observations [Mycetoma in Tunisia: a 15-case series]. Med Trop (Mars). 2010; 70(3):269-73.

Lichon V, Khachemoune A. Mycetoma: a review. Am J Clin Dermatol. 2006;7(5):315-21. Doi: 10.2165/00128071-200607050-00005.

Grayson W, Calonje E. Infectious diseases of the skin. In: Calonje E, Brenn T, editors. McKee’s Pathology of the Skin (5th ed). Cleveland: Elsevier; 2020. p. 826-975.

Wang R, Yao X, Li R. Mycetoma in China: a case report and review of the literature. Mycopathologia. 2019;184(2):327-34. Doi: 10.1007/s11046-019-00324-z.

Arora V, Handa B. Actinomycetoma of temporal bone: a rare case report. Indian J Otol. 2015;21(4). DOI:10.4103/0971-7749.164548

Siddig EE, Fahal AH. Histopathological approach in diagnosis of mycetoma causative agents: a mini review. J Cytol Histol. 2017;8(3):1-3.

Arastehfar A, Lim W, Daneshnia F, van de Sande WWJ, Fahal AH, Desnos OM, et al. Madurella real-time PCR, a novel approach for eumycetoma diagnosis. PLoS Negl Trop Dis. 2020;14(1): e0007845. Doi: 10.1371/journal.pntd.0007845.

Fahal AH. Management of mycetoma: review of dermatology. Expert Rev Dermatol. 2010;5(1):1-5.

Welsh O, Vera-Cabrera L, Salinas-Carmona MC. Mycetoma. Clin Dermatol. 2007;25(2):195-202. Doi: 10.1016/j.clindermatol.2006.05.011.

Khatri ML, Al-Halali HM, Fouad Khalid M, Saif SA, Vyas MCR. Mycetoma in Yemen: clinic-epidemiologic and histopathologic study. Int J Dermatol. 2002;41(9):586-93.

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Published

2023-08-22

How to Cite

Durry, M., & Loho, L. L. (2023). Mycetoma of the Breast: A Case Report. Medical Scope Journal, 5(2), 266–269. https://doi.org/10.35790/msj.v5i2.44625