Katilmiş Hüseyin, Oztürkcan Sedat, Ozdemir Ismail, Adadan Güvenç Işil, Ozturan Sengül
Department of Otorhinolaryngology and Head and Neck Surgery, Izmir Atatürk Research and Training Hospital, Ministry of Health, Izmir, Turkey.
Am J Otolaryngol. 2007 May-Jun;28(3):205-7. doi: 10.1016/j.amjoto.2006.08.007.
Hydatid cyst in the head and neck is very rare even in countries where echinococcus infestation is endemic. We report the case of a 33-year-old female patient presenting with a hydatid cyst in the lateral cervical region. The diagnosis of hydatid cyst is made mainly with the help of imaging methods and review of the patient's history. Serologic tests can also be useful. The diagnostic use of fine-needle aspiration biopsy generally has not been advised because of the potential to precipitate acute anaphylaxis or to spread daughter cysts. Treatment is surgical. Postoperative albendazole therapy is suggested especially when there is preoperative contamination risk.
即使在棘球绦虫感染为地方病的国家,头颈部包虫囊肿也非常罕见。我们报告一例33岁女性患者,其颈部外侧区域出现包虫囊肿。包虫囊肿的诊断主要借助影像学方法并回顾患者病史。血清学检测也可能有用。一般不建议使用细针穿刺活检进行诊断,因为这有可能引发急性过敏反应或导致子囊播散。治疗方式为手术。建议术后使用阿苯达唑治疗,尤其是存在术前污染风险时。