Talha Bin Saleem, Irfan Ahmed.
“Serpent” in the Breast.
J Ayub Med Coll Abottabad Jan ;18(4):66-7.

Introduction: Dracunculus medinensis better known as guinea worm is the longest nematode infecting humans. Mature female worms migrate along subcutaneous tissue to reach the skin below the knee forming a painful ulcerating blister. Calcified male worm can occasionally be found in the retro peritoneum. Finding of a calcified worm in the breast tissue is very rare. Material and methods : We report a case of a fit and well African lady who was found to have a calcified guinea worm in the breast on a mammographic examination for investigation of a breast lump . Conclusion: Guinea worm can be included in the differential diagnosis of the breast lump especially in the endemic areas although the finding remains very rare.

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