Durand H, Prinseau J, Bonfante S, Moreau L
Sem Hop. 1979;55(39-40):1797-804.
Diagnosis of primary cystic disease of the lung is often difficult, and because of this, in non-endemic regions, patients are often referred to the surgeon with an erroneous diagnosis. Clinical signs are completely non-specific. The most common one is hemoptysis; X-rays often fail to confirm hydatic cyst because of the volume, topography, or rupture of the cyst. Biological tests are often of little help. Serological reactions are negative in over one-half of the cases. The advantage of other complementary examinations (bronchiography, bronchoscopy, angiography, echotomography, scintigraphy) including transparietal punctions of the cyst, are discussed in light of the literature.
原发性肺囊性疾病的诊断往往很困难，因此在非流行地区，患者常常在诊断错误的情况下被转诊给外科医生。临床症状完全不具有特异性。最常见的症状是咯血；由于囊肿的大小、位置或破裂，X射线常常无法确诊包虫囊肿。生物学检测往往帮助不大。超过一半的病例血清学反应呈阴性。结合文献讨论了其他辅助检查（支气管造影、支气管镜检查、血管造影、超声断层扫描、闪烁扫描）包括经皮囊肿穿刺的优势。
