Links to Exploration step
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Adult filarial worm in the aspirate from a breast lump mimicking fibroadenosis</title><author><name sortKey="Chakrabarti, I" sort="Chakrabarti, I" uniqKey="Chakrabarti I" first="I" last="Chakrabarti">I. Chakrabarti</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Das, V" sort="Das, V" uniqKey="Das V" first="V" last="Das">V. Das</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Halder, B" sort="Halder, B" uniqKey="Halder B" first="B" last="Halder">B. Halder</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Giri, A" sort="Giri, A" uniqKey="Giri A" first="A" last="Giri">A. Giri</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23508168</idno><idno type="pmc">3593495</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3593495</idno><idno type="RBID">PMC:3593495</idno><idno type="doi">10.4103/2229-5070.86965</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">002403</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002403</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Adult filarial worm in the aspirate from a breast lump mimicking fibroadenosis</title><author><name sortKey="Chakrabarti, I" sort="Chakrabarti, I" uniqKey="Chakrabarti I" first="I" last="Chakrabarti">I. Chakrabarti</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Das, V" sort="Das, V" uniqKey="Das V" first="V" last="Das">V. Das</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Halder, B" sort="Halder, B" uniqKey="Halder B" first="B" last="Halder">B. Halder</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Giri, A" sort="Giri, A" uniqKey="Giri A" first="A" last="Giri">A. Giri</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Tropical Parasitology</title><idno type="ISSN">2229-5070</idno><idno type="eISSN">2229-7758</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Filariasis is major public health hazard particularly in tropical countries like India. The presence of microfilaria using fine needle aspiration cytology has been reported from various sites. However, the presence of the adult gravid filarial worm with a surrounding host response has rarely been reported on breast aspirates. Here, we report a unique case in which aspiration cytology from a breast lump clinically suspicious of fibroadenosis of the breast, showed adult filarial worms with numerous microfilariae and a granulomatous inflammatory host response. The filarial worm appears to be ubiquitous in endemic areas, and the presence of an unexplained granulomatous lesion in breast should prompt a careful consideration of the filarial etiology in our country. Therapy with diethylcarbamazine, albendazole, and antibiotics are sufficient for treatment of this type of lesion.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Patrikar, A" uniqKey="Patrikar A">A Patrikar</name></author><author><name sortKey="Maimoon, S" uniqKey="Maimoon S">S Maimoon</name></author><author><name sortKey="Mahore, S" uniqKey="Mahore S">S Mahore</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kapila, K" uniqKey="Kapila K">K Kapila</name></author><author><name sortKey="Verma, K" uniqKey="Verma K">K Verma</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Faust, Ec" uniqKey="Faust E">EC Faust</name></author><author><name sortKey="Russell, Pf" uniqKey="Russell P">PF Russell</name></author><author><name sortKey="Jung, Rc" uniqKey="Jung R">RC Jung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, K" uniqKey="Park K">K Park</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bapat, Kc" uniqKey="Bapat K">KC Bapat</name></author><author><name sortKey="Pandit, Aa" uniqKey="Pandit A">AA Pandit</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kapila, K" uniqKey="Kapila K">K Kapila</name></author><author><name sortKey="Verma, K" uniqKey="Verma K">K Verma</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rukmangadha, N" uniqKey="Rukmangadha N">N Rukmangadha</name></author><author><name sortKey="Shanthi, V" uniqKey="Shanthi V">V Shanthi</name></author><author><name sortKey="Kiran, Cm" uniqKey="Kiran C">CM Kiran</name></author><author><name sortKey="Kumari, Np" uniqKey="Kumari N">NP Kumari</name></author><author><name sortKey="Bai, Sj" uniqKey="Bai S">SJ Bai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pandit, Aa" uniqKey="Pandit A">AA Pandit</name></author><author><name sortKey="Shah, Rk" uniqKey="Shah R">RK Shah</name></author><author><name sortKey="Shenoy, Sg" uniqKey="Shenoy S">SG Shenoy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Azad, K" uniqKey="Azad K">K Azad</name></author><author><name sortKey="Arora, R" uniqKey="Arora R">R Arora</name></author><author><name sortKey="Gupta, K" uniqKey="Gupta K">K Gupta</name></author><author><name sortKey="Sharma, U" uniqKey="Sharma U">U Sharma</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Satpathi, S" uniqKey="Satpathi S">S Satpathi</name></author><author><name sortKey="Patnaik, J" uniqKey="Patnaik J">J Patnaik</name></author><author><name sortKey="Rath, Pk" uniqKey="Rath P">PK Rath</name></author><author><name sortKey="Panda, Rr" uniqKey="Panda R">RR Panda</name></author><author><name sortKey="Behera, Pk" uniqKey="Behera P">PK Behera</name></author><author><name sortKey="Satpathi, P" uniqKey="Satpathi P">P Satpathi</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Trop Parasitol</journal-id><journal-id journal-id-type="iso-abbrev">Trop Parasitol</journal-id><journal-id journal-id-type="publisher-id">TP</journal-id><journal-title-group><journal-title>Tropical Parasitology</journal-title></journal-title-group><issn pub-type="ppub">2229-5070</issn><issn pub-type="epub">2229-7758</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23508168</article-id><article-id pub-id-type="pmc">3593495</article-id><article-id pub-id-type="publisher-id">TP-1-129</article-id><article-id pub-id-type="doi">10.4103/2229-5070.86965</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Adult filarial worm in the aspirate from a breast lump mimicking fibroadenosis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Chakrabarti</surname><given-names>I</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Das</surname><given-names>V</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Halder</surname><given-names>B</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Giri</surname><given-names>A</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib></contrib-group><aff id="aff1"><italic>Department of Pathology, North Bengal Medical College, Darjeeling, West Bengal, India</italic></aff><author-notes><corresp id="cor1"><bold>Address for correspondence:</bold> Dr. Indranil Chakrabarti, Department of Pathology, North Bengal Medical College, Sushrutanagar, Darjeeling – 734 012, West Bengal, India. E-mail: <email xlink:href="drinch@rediffmail.com">drinch@rediffmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><season>Jul-Dec</season><year>2011</year></pub-date><volume>1</volume><issue>2</issue><fpage>129</fpage><lpage>131</lpage><history><date date-type="received"><day>18</day><month>5</month><year>2011</year></date><date date-type="accepted"><day>31</day><month>10</month><year>2011</year></date></history><permissions><copyright-statement>Copyright: © Tropical Parasitology</copyright-statement><copyright-year>2011</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Filariasis is major public health hazard particularly in tropical countries like India. The presence of microfilaria using fine needle aspiration cytology has been reported from various sites. However, the presence of the adult gravid filarial worm with a surrounding host response has rarely been reported on breast aspirates. Here, we report a unique case in which aspiration cytology from a breast lump clinically suspicious of fibroadenosis of the breast, showed adult filarial worms with numerous microfilariae and a granulomatous inflammatory host response. The filarial worm appears to be ubiquitous in endemic areas, and the presence of an unexplained granulomatous lesion in breast should prompt a careful consideration of the filarial etiology in our country. Therapy with diethylcarbamazine, albendazole, and antibiotics are sufficient for treatment of this type of lesion.</p></abstract><kwd-group><title>KEYWORDS</title><kwd>Adult filarial worm</kwd><kwd>fine needle aspiration cytology</kwd><kwd>breast</kwd></kwd-group></article-meta></front><body><sec id="sec1-1"><title>INTRODUCTION</title><p>Filariasis is an infectious parasitic disease and is regarded as a major public health problem in the tropical countries of Africa, Southern America, and Asia. Transmitted by the Culex mosquito, humans serve as the definitive host. <italic>Wuchereria bancrofti</italic> accounts for more than 90% of the cases of the world followed by <italic>Brugia malayi</italic> and <italic>Brugia timori</italic>.[<xref ref-type="bibr" rid="ref1">1</xref>] The adult <italic>W. bancrofti</italic> may produce lesions in various sites by affecting the lymphatics of the lower limbs, spermatic cord, epididymis, testis, retroperitoneum, and female breast.[<xref ref-type="bibr" rid="ref2">2</xref>] However, finding adult gravid worms by fine needle aspiration cytology (FNAC) of breast with granulomatous inflammation has rarely been reported. Here, we report the case of a 30-year-old lady who presented with a tender breast lump with the clinical suspicion of fibroadenosis.</p></sec><sec id="sec1-2"><title>CASE REPORT</title><p>A 30-year-old lady presented to the outpatient department with a painful swelling in her left breast. She had first noticed the swelling 2 weeks back and stated that the size was increasing slowly. There was no history of cyclical mastalgia. The patient was suffering from fever and had already undergone routine examination of peripheral blood. The report showed a hemoglobin level of 10.8 g/dl with a normal total leucocyte count and mild eosinophilia (differential count of eosinophil - 08%). The erythrocyte sedimentation rate (ESR) was high, the value being 80 mm in the first hour. On examination, a 2 × 2 cm swelling was seen in the upper outer quadrant of the left breast. The swelling was soft with vague margins and was mildly tender.</p><p>FNAC was performed by a 24 G needle fitted to a 10 cc syringe and yielded a granular material admixed with a turbid fluid. The smears were stained with the May–Grunwald–Giemsa (MGG) stain and hematoxylin and eosin (H and E) stain. The cellular smears from the aspirate showed gravid adult filarial worms with a preserved outer cuticle layer. Numerous microfilariae were seen coming out from the paired uteri. The microfilariae incited a foreign body reaction in the form of multinucleated giant cells and granulomas [Figures <xref ref-type="fig" rid="F1">1</xref> and <xref ref-type="fig" rid="F2">2</xref>]. The microfilariae were rounded anteriorly and uniformly tapering posteriorly with a clear space free of nuclei at the caudal end – thus morphologically resembling <italic>W. bancrofti</italic>. There was presence of few ductal cells of breast as well. The fluid-mixed background was dirty with a fair number of neutrophils, few eosinophils, cyst macrophages, and cellular debris. A diagnosis of filariasis of breast with granulomatous and foreign body reaction was made. A midnight blood sample taken after 2 days showed motile microfilariae on wet mount preparation. The patient was treated with amoxicillin-clavulinic acid, albendazole, and diethylcarbamazine (DEC). The swelling had disappeared when the patient came for follow-up after 2 weeks.</p><fig id="F1" position="float"><label>Figure 1</label><caption><p>Microphotograph showing numerous microfilariae coming out of the paired uteri of the adult filarial worm (H and E stain, ×100 magnification). Inset, lower left: microphotograph showing granuloma adjacent to a microfilaria. Inset, upper right: microphotograph showing a multinucleated giant cell adjacent to a microfilaria (H and E stain, ×400 magnification)</p></caption><graphic xlink:href="TP-1-129-g001"></graphic></fig><fig id="F2" position="float"><label>Figure 2</label><caption><p>Microphotograph showing numerous microfilariae coming out of the gravid adult filarial worm. A foreign body giant cell is indicated by a black arrow (MGG stain, ×100 magnification)</p></caption><graphic xlink:href="TP-1-129-g002"></graphic></fig></sec><sec sec-type="discussion" id="sec1-3"><title>DISCUSSION</title><p>The medical literature documents filariasis back to 600 BC by Sustruta who recognized the clinical manifestation of elephan-tiasis and referred it as elephantiasis arabicum.[<xref ref-type="bibr" rid="ref3">3</xref>] Filariasis is a global problem and India is also badly hit by it. The heavily infected areas in our country are found in Uttar Pradesh, Bihar, Jharkhand, Andhra Pradesh, Orissa, Tamil Nadu, Kerala, and Gujarat.[<xref ref-type="bibr" rid="ref4">4</xref>]</p><p>There are eight species of microfilaria of which <italic>W. bancrofti, B. Malayi</italic>, and <italic>B. timori</italic> are responsible for lymphatic filariasis. Of these, the first two are common in India and they show nocturnal periodicity. Humans serve as the definitive host while infected mosquitos (<italic>Culex quinquefasciatus</italic> for bancroftian filariasis and Mansonia mosquitos for brugian filariasis) serve as the vectors. The adult worms harbor in the lymphatic system of man. The males are about 40 mm long and the females range between 50 and 100 mm in length. The viviparous females usually give rise to as many as 50,000 microfilariae per day.[<xref ref-type="bibr" rid="ref4">4</xref>] The parasites usually involve the lymphatics and cause fever, lymphangitis, lymphadenitis, and lymphedema resulting in elephantiasis. Besides they also cause hydrocele, chyluria, epididymoorchitis, etc. In spite of various reports stating the presence of microfilaria using aspiration cytology in various sites like spermatic cord, epididymis, testis, retroperitoneum,[<xref ref-type="bibr" rid="ref1">1</xref>] soft tissue,[<xref ref-type="bibr" rid="ref2">2</xref>] breast,[<xref ref-type="bibr" rid="ref5">5</xref>–<xref ref-type="bibr" rid="ref7">7</xref>] etc., reports of adult worms in cytological aspirates are sparse. Pandit <italic>et al</italic>.[<xref ref-type="bibr" rid="ref8">8</xref>] and Azad, <italic>et al</italic>.[<xref ref-type="bibr" rid="ref9">9</xref>] reported the presence of adult filarial worms in soft tissue swellings. Satpathi <italic>et al</italic>.[<xref ref-type="bibr" rid="ref10">10</xref>] reported a rare case of adult filarial worms in the breast aspirate. Thus, barring a few reports, the presence of an adult gravid filarial worm in a breast lesion by FNAC is an extremely rare finding. The presence of a host response in the form of foreign body reaction and granuloma formation is also a unique finding. Patrikar <italic>et al</italic>.[<xref ref-type="bibr" rid="ref1">1</xref>] reported a case of breast filariasis where cytological smears did not yield any granuloma but the excised breast lump showed histopathological features of an adult filarial worm with surrounding granulomatous inflammatory reaction. They opined that although the presence of filarial granuloma is rare in India, the presence of any unexplained granuloma of breast should prompt a search for a filarial etiology.[<xref ref-type="bibr" rid="ref1">1</xref>] The patient responded well to a combined treatment of antibiotics, albendazole, and a 12-day oral course of DEC. The patient did not develop any complication during the treatment period. The breast swelling gradually resolved within 2 weeks of the initiation of therapy.</p></sec></body><back><fn-group><fn fn-type="supported-by"><p><bold>Source of Support:</bold> Nil</p></fn><fn fn-type="conflict"><p><bold>Conflict of Interest:</bold> None declared</p></fn></fn-group><ref-list><title>REFERENCES</title><ref id="ref1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Patrikar</surname><given-names>A</given-names></name><name><surname>Maimoon</surname><given-names>S</given-names></name><name><surname>Mahore</surname><given-names>S</given-names></name></person-group><article-title>Filarial granuloma in breast</article-title><source>Indian J Pathol Microbiol</source><year>2008</year><volume>51</volume><fpage>85</fpage><lpage>6</lpage><pub-id pub-id-type="pmid">18417870</pub-id></element-citation></ref><ref id="ref2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kapila</surname><given-names>K</given-names></name><name><surname>Verma</surname><given-names>K</given-names></name></person-group><article-title>Gravid adult female worms of <italic>Wuchereria bancrofti</italic> in fine needle aspirates of soft tissue swellings. Report of three cases</article-title><source>Acta Cytol</source><year>1989</year><volume>33</volume><fpage>390</fpage><lpage>2</lpage><pub-id pub-id-type="pmid">2658448</pub-id></element-citation></ref><ref id="ref3"><label>3</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Faust</surname><given-names>EC</given-names></name><name><surname>Russell</surname><given-names>PF</given-names></name><name><surname>Jung</surname><given-names>RC</given-names></name></person-group><article-title>Plasmid Nematode, Parasites of Man. Filarioidea</article-title><source>Craig and Faust's Clinical Parasitology</source><year>1970</year><edition>8th ed</edition><publisher-loc>Philadelphia, PA</publisher-loc><publisher-name>Lea and Febiger</publisher-name><fpage>361</fpage><lpage>404</lpage></element-citation></ref><ref id="ref4"><label>4</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Park</surname><given-names>K</given-names></name></person-group><article-title>Epidemiology of communicable disease</article-title><source>Textbook of Preventive and Social Medicine</source><year>2011</year><edition>21st ed</edition><publisher-loc>Jabalpur</publisher-loc><publisher-name>Banarsidas Bhanot Publishers</publisher-name><fpage>244</fpage><lpage>50</lpage></element-citation></ref><ref id="ref5"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bapat</surname><given-names>KC</given-names></name><name><surname>Pandit</surname><given-names>AA</given-names></name></person-group><article-title>Filarial infection of the breast. Report of a case with diagnosis by fine needle aspiration cytology</article-title><source>Acta Cytol</source><year>1992</year><volume>36</volume><fpage>505</fpage><lpage>6</lpage><pub-id pub-id-type="pmid">1636341</pub-id></element-citation></ref><ref id="ref6"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kapila</surname><given-names>K</given-names></name><name><surname>Verma</surname><given-names>K</given-names></name></person-group><article-title>Diagnosis of parasites in fine needle breast aspirates</article-title><source>Acta Cytol</source><year>1996</year><volume>40</volume><fpage>653</fpage><lpage>6</lpage><pub-id pub-id-type="pmid">8693881</pub-id></element-citation></ref><ref id="ref7"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rukmangadha</surname><given-names>N</given-names></name><name><surname>Shanthi</surname><given-names>V</given-names></name><name><surname>Kiran</surname><given-names>CM</given-names></name><name><surname>Kumari</surname><given-names>NP</given-names></name><name><surname>Bai</surname><given-names>SJ</given-names></name></person-group><article-title>Breast filariasis diagnosed by fine needle aspiration cytology- a case report</article-title><source>Indian J Pathol Microbiol</source><year>2006</year><volume>49</volume><fpage>243</fpage><lpage>4</lpage><pub-id pub-id-type="pmid">16933724</pub-id></element-citation></ref><ref id="ref8"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pandit</surname><given-names>AA</given-names></name><name><surname>Shah</surname><given-names>RK</given-names></name><name><surname>Shenoy</surname><given-names>SG</given-names></name></person-group><article-title>Adult filarial worm in a fine needle aspirate of a soft tissue swelling</article-title><source>Acta Cytol</source><year>1997</year><volume>41</volume><fpage>944</fpage><lpage>6</lpage><pub-id pub-id-type="pmid">9167733</pub-id></element-citation></ref><ref id="ref9"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Azad</surname><given-names>K</given-names></name><name><surname>Arora</surname><given-names>R</given-names></name><name><surname>Gupta</surname><given-names>K</given-names></name><name><surname>Sharma</surname><given-names>U</given-names></name></person-group><article-title>Lymphatic filariasis: Aspiration of adult gravid female worm from a soft tissue swelling</article-title><source>J Cytol</source><year>2010</year><volume>27</volume><fpage>156</fpage><lpage>7</lpage><pub-id pub-id-type="pmid">21157572</pub-id></element-citation></ref><ref id="ref10"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Satpathi</surname><given-names>S</given-names></name><name><surname>Patnaik</surname><given-names>J</given-names></name><name><surname>Rath</surname><given-names>PK</given-names></name><name><surname>Panda</surname><given-names>RR</given-names></name><name><surname>Behera</surname><given-names>PK</given-names></name><name><surname>Satpathi</surname><given-names>P</given-names></name></person-group><article-title>Adult filarial worm by fine needle aspiration cytology of breast lumps</article-title><source>Acta Cytol</source><year>2010</year><volume>54</volume><issue>5 Suppl</issue><fpage>1085</fpage><lpage>7</lpage><pub-id pub-id-type="pmid">21053616</pub-id></element-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 0024030 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 0024030 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Pmc
|étape= Corpus
|type= RBID
|clé=
|texte=
}}
| This area was generated with Dilib version V0.6.31. |  |