Kilinç Oğuz, Döskaya Mert, Sakar Aysin, Yorgancioğlu Arzu, Halilçolar Hüseyin, Caner Ayse, Gürüz Yüksel
Department of Pulmonology, Dokuz Eylül University Medical School, Balçova/Izmir, Turkey.
New Microbiol. 2009 Apr;32(2):229-33.
Hydatid disease is endemic in Turkey. Echinococcus granulosus causes cystic echinococcosis mostly in the liver and lung. Although pulmonary hydatid cysts can be diagnosed by clinical and radiological findings, atypical or complicated lung lesions may be misdiagnosed. In the present study, three cases with hemoptysis and atypical lung lesions were diagnosed and treated as lung cancer or tuberculosis based on the clinical and laboratory findings along with the imaging data and fiberoptic bronchoscopy evaluation. Eventually, pathological examination of the bronchoscopic biopsy material confirmed the definitive diagnosis as pulmonary hydatidosis. The three patients presented herein emphasize the importance of considering pulmonary hydatid disease in the definitive diagnosis of atypical lung lesions such as bronchial carcinoma in echinococcosis endemic areas.
包虫病在土耳其呈地方性流行。细粒棘球绦虫主要引起肝脏和肺部的囊性棘球蚴病。虽然肺包虫囊肿可通过临床和影像学检查结果进行诊断,但非典型或复杂的肺部病变可能会被误诊。在本研究中,3例咯血和非典型肺部病变患者根据临床和实验室检查结果、影像学数据以及纤维支气管镜评估,被诊断为肺癌或肺结核并接受治疗。最终,支气管镜活检材料的病理检查确诊为肺包虫病。本文介绍的这3例患者强调了在棘球蚴病流行地区,对于支气管癌等非典型肺部病变的明确诊断中考虑肺包虫病的重要性。