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软组织棘球蚴病:两例报告及文献复习

Soft tissue echinococcosis: a report of two cases and review of the literature.

作者信息

Cannon C P, Nelson S D, Panosian C B, Seeger L L, Eilber F R, Eckardt J J

机构信息

Department of Orthopaedic Surgery, University of California, Los Angeles School of Medicine, 90095, USA.

出版信息

Clin Orthop Relat Res. 2001 Apr(385):186-91.

Abstract

Echinococcosis (hydatid cyst disease) is a zoonotic infection caused by the parasitic tapeworm Echinococcus. The larval stage of this parasite can implant in many organs of the body, most commonly the liver, and create internal budding cystic masses. Echinococcal cysts also can implant in soft tissues; however, a review of the literature revealed no published case with the patient initially presenting with a soft tissue mass. Two such cases are reported in the current study. Physicians who evaluate soft tissue masses, particularly in patients from Echinococcus-endemic areas, need to include echinococcosis in their differential diagnoses. The current treatment of choice for soft tissue echinococcosis is wide resection combined with perioperative medical therapy.

摘要

棘球蚴病(包虫囊肿病)是一种由寄生绦虫棘球绦虫引起的人畜共患感染。这种寄生虫的幼虫阶段可植入身体的许多器官,最常见的是肝脏,并形成内部出芽的囊性肿块。棘球绦虫囊肿也可植入软组织;然而,文献回顾显示,没有已发表的病例最初表现为软组织肿块。本研究报告了两例此类病例。评估软组织肿块的医生,特别是来自棘球绦虫流行地区的患者,在鉴别诊断时需要考虑棘球蚴病。目前软组织棘球蚴病的首选治疗方法是广泛切除并结合围手术期药物治疗。

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