Sirikulchayanonta Vorachai, Sirikulchayanonta Chutima, Leopairat Juvadi
Department of Pathology, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
Southeast Asian J Trop Med Public Health. 2007 May;38(3):420-3.
We present a study of 36 cases of solitary soft tissue cysticercosis retrieved from pathological reports and medical records during 1990-2006. The soft tissue was the most common organ affected by cysticercosis in our study accounting for 75% of all affected cases. The brain was the second most common, and accounted for 15%. The most common location for the soft tissue lesions was upper extremities which accounted for 33% of cases, and the least common sites were the back, eyelid, buttock and cheek, which accounted for 3% each. Preoperative diagnoses of the lesions were as follows: lipoma, masses of undetermined nature, cysts, abscesses, fat necrosis and lymphadenitis. The mean size of lesions was 1.5 cm; the minimum and maximum sizes were 0.3 and 3 cm, respectively. The mean age of the patients was 33.5 years and the range was 9 to 68 years. The ratio of males to females was 1 to 5, which may reflect differences in eating habits and social life between males and females in our society. Our findings indicated that none of the cases in our study were diagnosed as cysticercosis preoperatively. Therefore, clinicians should include cysticercosis in the differential diagnosis of soft tissue cystic nodules or masses. Data regarding the sizes of lesions should be helpful in differentiating this entity from other soft tissue lesions in clinical practice and on magnetic resonance imaging.
我们对1990年至2006年间从病理报告和医疗记录中检索出的36例孤立性软组织囊尾蚴病病例进行了研究。在我们的研究中，软组织是受囊尾蚴病影响最常见的器官，占所有受影响病例的75%。脑部是第二常见的，占15%。软组织病变最常见的部位是上肢，占病例的33%，最不常见的部位是背部、眼睑、臀部和脸颊，各占3%。病变的术前诊断如下：脂肪瘤、性质未明的肿块、囊肿、脓肿、脂肪坏死和淋巴结炎。病变的平均大小为1.5厘米；最小和最大尺寸分别为0.3厘米和3厘米。患者的平均年龄为33.5岁，范围为9至68岁。男女比例为1比5，这可能反映了我们社会中男性和女性在饮食习惯和社会生活方面的差异。我们的研究结果表明，我们研究中的病例术前均未被诊断为囊尾蚴病。因此，临床医生应将囊尾蚴病纳入软组织囊性结节或肿块的鉴别诊断中。关于病变大小的数据应有助于在临床实践和磁共振成像中区分这种疾病与其他软组织病变。
