Ambo M, Adachi K, Ohkawara A
Department of Dermatology, Kushiro Rosai Hospital, Labor Welfare Corporation, Japan.
J Dermatol. 1999 Jun;26(6):343-7. doi: 10.1111/j.1346-8138.1999.tb03485.x.
The first Japanese case of alveolar hydatid disease with cutaneous-subcutaneous lesions is reported. The patient, a 58-year-old man who developed an indurated subcutaneous tumor on the right side of the abdomen, had had partial hepatectomy of the right lobe for echinococcosis thirteen years earlier. Clinically, the tumor was adherent with a fistulosis communication to deeper structures. Histopathologically, multiple PAS-positive cuticular layers with foreign body granulomas and fibrosis were observed between the dermis and subcutaneous fatty tissue. Surgical excision of the swelling provided the patient with temporary relief. To our knowledge, only eight cases of subcutaneous alveolar hydatid disease have been reported throughout the world. Ours, the ninth case, highlights the importance and difficulty of treating of alveolar hydatid disease.
报告了首例伴有皮肤-皮下病变的日本肺泡型包虫病病例。患者为一名58岁男性，其腹部右侧出现一个硬结性皮下肿瘤，13年前因包虫病接受了右叶部分肝切除术。临床上，肿瘤与深部结构粘连并伴有瘘管相通。组织病理学检查显示，在真皮和皮下脂肪组织之间观察到多个PAS阳性角质层，伴有异物肉芽肿和纤维化。手术切除肿胀为患者提供了暂时缓解。据我们所知，全世界仅报告了8例皮下肺泡型包虫病病例。我们的病例是第9例，突出了肺泡型包虫病治疗的重要性和难度。
