n South African Journal of Surgery - Bilharzia of the breast masquerading as a breast skin papilloma in a pregnant woman : letters to the editor




A 21-year-old woman from Khayelitsha, Western Cape, presented with a 3 cm diameter papillomatous growth lateral to her left nipple with satellite lesions around the areola. She was 25 weeks pregnant and was concerned that the mass would interfere with breastfeeding. She was otherwise well. The papilloma was excised, and histological examination showed an exophytic papillary lesion with numerous viable ova (Fig 1.). There was a conspicuous surrounding mixed inflammatory reaction as well as extensive fibrosis, but no evidence of malignancy.


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