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Rapid Onsite Evaluation of Unstained Cytosmears: A Vermi-Surprise in the Breast

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In tropical countries like India, filariasis is a common health problem. India alone accounts for nearly one-third of the world’s population at risk for lymphatic filariasis. Filariasis can be caused… Click to show full abstract

In tropical countries like India, filariasis is a common health problem. India alone accounts for nearly one-third of the world’s population at risk for lymphatic filariasis. Filariasis can be caused by nematodes such as Wuchereria bancrofti, Brugia malayi, Brugia timori, Loa loa, and many more. In India, filarial infection is mainly caused by two similar nematodes Wuchereria bancrofti and Brugia malayi.[1,2] Man is the definitive host of this parasite. Filariais is transmitted by female Culex mosquito. In the mosquito, microfilariae develop into an active form and get transmitted to the definitive host when the mosquito bites them. Although the disease mainly affects lymphatic channels and lymph nodes the microfilariae are not just confined to the lymphatic system and may involve other organs and serous cavities.[3] Breast is an uncommon extranodal site for filariasis which can present as a unilateral painless solitary superficial non-tender breast mass, usually in the upper and outer quadrant and can mimic a neoplasm.[4-6]

Keywords: filariasis; evaluation unstained; breast; onsite evaluation; unstained cytosmears; rapid onsite

Journal Title: Journal of Cytology
Year Published: 2020

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