大腿原发性皮下包虫囊肿：一个具有诊断难题的不寻常部位。
Primary Subcutaneous Hydatid Cyst of the Thigh: An Unusual Site With a Diagnostic Dilemma.
作者信息
Rodrigues Gabriel, Prabhu Raghunath
机构信息
Department of General Surgery, Kasturba Medical College, Manipal University, Manipal, India
Department of General Surgery, Kasturba Medical College, Manipal University, Manipal, India.
出版信息
J Cutan Med Surg. 2016 May;20(3):266-8. doi: 10.1177/1203475415623778. Epub 2015 Dec 28.
BACKGROUND
Hydatid disease, or echinococcosis, affects several organs in the body and can pose a major diagnostic dilemma. Musculoskeletal involvement occurs only in 1% to 6% of patients. Clinically, the condition mimics a soft tissue tumor, and a preoperative diagnosis (blood and radiology) is necessary to avoid biopsy, management, and recurrence. In endemic areas, a differential diagnosis of hydatid disease should be considered for every soft cystic mass in any anatomic location.
METHODS
The investigators report a rare case of primary subcutaneous hydatid cyst of the thigh, which was an incidental clinical and radiologic finding that led to a diagnostic dilemma in a 62-year-old woman with diabetes admitted for management of a nonhealing foot ulcer.
RESULTS
The patient underwent successful complete surgical excision with pre- and postoperative antihelminthic pharmacotherapy, and at the end of 2-year follow-up, there has been no local recurrence or systemic disease.
背景
包虫病，即棘球蚴病，可累及身体多个器官，可能造成重大诊断难题。骨骼肌肉受累情况仅见于1%至6%的患者。临床上，该病症类似软组织肿瘤，术前诊断（血液及影像学检查）对于避免活检、治疗及复发至关重要。在流行地区，任何解剖部位出现的软囊性肿块均应考虑包虫病的鉴别诊断。
方法
研究人员报告了一例罕见的大腿原发性皮下包虫囊肿病例，这是一例偶然的临床及影像学发现，导致一名因足部溃疡不愈合入院治疗的62岁糖尿病女性患者陷入诊断困境。
结果
患者接受了成功的完整手术切除，并在术前及术后接受了抗蠕虫药物治疗，在2年随访结束时，无局部复发或全身性疾病。
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