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大腿部孤立性包虫囊肿,未发现任何原发部位。

Solitary hydatid cyst in thigh without any detectable primary site.

作者信息

Pathak Tarun Kumar, Roy Sougata, Das Subhabrata, Achar Arun, Biswas Ashok Kumar

机构信息

Department of Microbiology, Midnapore Medical College & Hospital, West Bengal, India.

出版信息

J Pak Med Assoc. 2011 Dec;61(12):1244-5.

Abstract

Echinococcus granulosus causes a zoonotic infection called Cystic Echinococcosis (CE). Surgeons meet with hydatid cysts of the liver and lungs with reasonable frequency. However hydatid cyst may also appear in other parts of the body. A 30 years old lady presented with a smooth slow-growing subcutaneous nodule on the anteromedial side of the right thigh with no detectable primary site in the liver or lung. The case was subsequently diagnosed as hydatid cyst of muscle and radical surgery was done under coverage of anihelminthic drug. The common practice in this type of case is to do fine needle aspiration cytology (FNAC) taking the lesion to be a soft tissue neoplasm. The aim of this case presentation is to be aware of that in case of a diffuse non-tender swelling with history of gradual increase in size, hydatid cyst should be considered in the differential diagnosis.

摘要

细粒棘球绦虫可引发一种人畜共患感染,称为囊型包虫病(CE)。外科医生相当频繁地会遇到肝脏和肺部的包虫囊肿。然而,包虫囊肿也可能出现在身体的其他部位。一名30岁女性患者,右大腿前内侧出现一个生长缓慢、表面光滑的皮下结节,肝脏和肺部未发现原发部位。该病例随后被诊断为肌肉包虫囊肿,并在抗蠕虫药物覆盖下进行了根治性手术。在这类病例中,通常的做法是将病变当作软组织肿瘤进行细针穿刺细胞学检查(FNAC)。本病例报告的目的是提醒大家,对于有大小逐渐增大病史的弥漫性无痛性肿胀,在鉴别诊断时应考虑包虫囊肿。

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