Rahimi-Rad Mohammad Hossein, Mahmodlou Rahim
Respiratory Medicine Division of Department of Medicine, Faculty of Medicine of Urmia University of Medical Sciences, Urmia, West Azerbaijan, Iran.
Pneumologia. 2009 Oct-Dec;58(4):230-2.
Hydatid cyst (HC) in mediastinum is very rare. To the best of our knowledge, a case with multiple HCs in mediastinum is not reported already. We herein report a case of multiple HCs of the mediastinum and liver in a - 50 year-old woman presented with chest pain, cough and dyspnea for about two years. She had been treated for tuberculosis for 20 years. Chest CT scan showed multiple cysts in posterior mediastinum and one cyst in left lobe of liver. Via right posterolateral thoracotomy, multiple cysts were excised in mediastinum. And then, hepatic left lobe cyst was removed trans-diaphragmatically. Histopathologic examination confirmed HCs. Despite its rarity, primary HCs should be considered in the differential diagnosis of mediastinal multiple cystic lesions in endemic regions.
纵隔包虫囊肿（HC）非常罕见。据我们所知，尚未有纵隔多发HC病例的报道。我们在此报告一例50岁女性纵隔和肝脏多发HC病例，该患者因胸痛、咳嗽和呼吸困难就诊，症状持续约两年。她曾接受过20年的抗结核治疗。胸部CT扫描显示后纵隔有多个囊肿，肝脏左叶有一个囊肿。通过右后外侧开胸手术，切除了纵隔内的多个囊肿。然后，经膈肌切除了肝脏左叶囊肿。组织病理学检查确诊为HC。尽管罕见，但在流行地区，纵隔多发囊性病变的鉴别诊断中应考虑原发性HC。
