Romic Bosko, Romic Ivan, Petrovic Igor, Romic Marijan, Romic Renata, Romic Matija, Mance Marko, Pavlek Goran
Chirurgia (Bucur). 2016 Jul-Aug;111(4):297-303.
Concomitant presence of hydatid cyst and hepatocellular carcinoma is a very rare clinical scenario especially in a previously non-diseased liver. Including our case here reported, there are 12 cases of synchronous HCC and hydatid cyst found in the scientific literature and 3 of them were found in a patient with non-diseased liver. We provide detailed review of all reported cases with additional highlights on etiology, pathogenesis, diagnosis, treatment and outcomes of both HCC and echinococcal disease. Although there is a small number of patients, possible relation between these 2 liver lesions should be investigated and standardized classification should be established. This will help us to understand the nature of HCC carcinogenesis, identify diagnostic features of liver lesions and choose the most appropriate type of treatment.
肝包虫囊肿与肝细胞癌同时存在是一种非常罕见的临床情况，尤其是在既往无肝脏疾病的患者中。包括我们在此报告的病例在内，科学文献中共发现12例肝细胞癌与肝包虫囊肿同时存在的病例，其中3例发生在既往无肝脏疾病的患者中。我们对所有报告病例进行了详细回顾，并重点阐述了肝细胞癌和棘球蚴病的病因、发病机制、诊断、治疗及预后。尽管患者数量较少，但仍应研究这两种肝脏病变之间可能的关系，并建立标准化分类。这将有助于我们了解肝细胞癌的致癌本质，识别肝脏病变的诊断特征，并选择最合适的治疗方式。
