Yagmur Yusuf, Akbulut Sami
Department of Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, Turkey.
Int Surg. 2012 Jan-Mar;97(1):23-6. doi: 10.9738/CC85.1.
Hydatid cysts develop most frequently in the liver and lungs, but they are occasionally found in other organs. Hydatid cysts in the axillary space are an extremely rare event in areas where the disease is endemic, and are still common in many countries, including Turkey. A 73-year-old man presented to our clinic with a painful axillary mass. Thoracoabdominal computed tomography revealed multilocular cystic masses localized in the left axillary space, with minimal invasion of the peripheral soft tissue and no pulmonary or hepatic involvement. An echinococcal indirect hemagglutination test was negative. The masses were dissected through their stalks and removed completely. Macroscopic and microscopic examination of the specimens confirmed hydatid cysts. This case report demonstrates that hydatid cysts should be considered as a possible cause for palpable lesions in the axillary region or chest wall, especially in endemic locations.
包虫囊肿最常发生于肝脏和肺,但偶尔也见于其他器官。在包虫病流行地区,腋窝处的包虫囊肿极为罕见,而在包括土耳其在内的许多国家仍很常见。一名73岁男性因腋窝肿物伴疼痛就诊于我院。胸腹部计算机断层扫描显示,多房囊性肿物位于左腋窝,对周围软组织侵犯轻微,无肺部或肝脏受累。棘球蚴间接血凝试验阴性。肿物通过其蒂部进行分离并完整切除。标本的大体和显微镜检查证实为包虫囊肿。本病例报告表明,对于腋窝区域或胸壁可触及的病变,尤其是在流行地区,应考虑包虫囊肿为可能病因。