Primary breast aspergillosis mimicking breast malignancy - a rare case report

J Ultrason. 2021;20(83):e322-e324. doi: 10.15557/JoU.2020.0056. Epub 2020 Dec 18.

Abstract

Aspergillus is a group of saprophytic fungi which is widely present in our environment. It can be a cause of opportunistic infections of different organs, especially the lungs. Fungal mastitis is a rare infection in healthy subjects. It is seen in breastfeeding females and immunodeficient patients. We herein report a rare presentation of aspergilloma in a 73-year-old female who presented with a palpable mass in the breast. She was under medical control due to plasmocytoma. In ultrasound examination the lesion was classified as BI-RADS 4b and subsequently biopsy (fine needle and core needle aspiration) was performed. Biopsy provided immediate results and excluded breast cancer. In this rare case report of breast aspergillosis, we emphasize the role of pathology in medical diagnosis.

Keywords: aspergilloma; core needle biopsy; fine needle aspiration; fungal mastitis; ultrasound-guided biopsy.