Zangeneh Mehrangiz, Amerion Mahmood, Siadat S Davar, Alijani Mohsen
Department of Infectious Diseases, Islamic Azad University, Tehran Medical Branch, Tehran, Iran.
Case Rep Med. 2012;2012:362610. doi: 10.1155/2012/362610. Epub 2012 Dec 17.
Introduction. Hydatid disease is a disease caused by the cestode Echinococcus. Echinococcus granulosus is the most common Echinococcus species affecting human. It may affect any organ and tissue in the body, most in the liver and lung. Disease is endemic in some regions of the world, and is common in Iran. Primary hydatid cyst of the axillary region is an unusual and rare localization of hydatid disease. So far, only sixteen cases have been published in the all medical literature. Case Report. Herein, we present a 33-year-old woman because of a mass in the axillary region of four months duration. Axillary ultrasonography showed a thick wall cystic lesion. No abnormality was found in mammographic examination of either breast, or in abdominal ultrasonography and chest X-ray. The mass was excised for pathological examination that showed a typical laminated membrane of hydatid cyst. Postoperative IgG- ELISA serology in this case was negative. Based on pathology an axillary hydatid cyst was diagnosed. Conclusion. Hydatid cyst should be considered in endemic areas in patients presenting with a soft tissue mass in the axillary region.
引言。包虫病是由绦虫棘球绦虫引起的疾病。细粒棘球绦虫是最常见的感染人类的棘球绦虫物种。它可影响身体的任何器官和组织，最常见于肝脏和肺部。该病在世界某些地区为地方病，在伊朗较为常见。腋窝区原发性包虫囊肿是包虫病一种不寻常且罕见的发病部位。迄今为止，所有医学文献中仅发表了16例。病例报告。在此，我们报告一名33岁女性，因腋窝区肿物持续4个月就诊。腋窝超声显示为厚壁囊性病变。双侧乳腺钼靶检查、腹部超声及胸部X线检查均未发现异常。肿物切除后进行病理检查，显示为典型的包虫囊肿分层膜。该病例术后IgG - ELISA血清学检查为阴性。根据病理诊断为腋窝包虫囊肿。结论。在地方病流行地区，对于出现腋窝区软组织肿物的患者应考虑包虫囊肿。
