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孤立性肺包虫囊肿:在一名年轻女性乳腺癌手术病例中被误诊为肺转移性病变。

Isolated pulmonary hydatid cyst: Misinterpreted as metastatic pulmonary lesion in an operated case of carcinoma breast in young female.

作者信息

Kshatriya Ravish, Prajapati Dhaval, Khara Nimit, Paliwal Rajiv, Patel Satish

机构信息

Department of Respiratory Medicine, Pramukhswami Medical College, Shree Krishna Hospital, Karamsad, Gujarat, India.

出版信息

J Family Med Prim Care. 2016 Jul-Sep;5(3):701-703. doi: 10.4103/2249-4863.197299.

Abstract

Hydatidosis is caused by . Humans may be infected incidentally as intermediate host by the accidental consumption of soil, water, or food contaminated by fecal matter of an infected animal. Hydatidosis is one of the most symptomatic parasitic infections in various livestock - raising countries. Lung is the second most commonly affected organ following the liver. The symptoms depend on the size and site of the lesion. It can present as an asymptomatic pulmonary lesion to hemoptysis, chest pain, coughing anaphylaxis, and shock. There are very few reported cases of isolated lung hydatidosis without exposure to animals or nonvegetarian diet. For hydatidosis, serology and imaging are diagnostic tools. Surgical removal and/or chemotherapy are the main-stay of treatment. Here, we discuss a case of persistent left lower lobe cystic lesion in young female with a history of operated left breast carcinoma which was thought to be of metastatic lesion but ultimately confirmed as pulmonary hydatid cyst after unintended aspiration of cystic fluid to rule out malignancy. Pulmonary hydatidosis should always be considered as a differential diagnosis when dealing with a cystic lesion on radiology.

摘要

包虫病是由……引起的。人类可能因偶然摄入被感染动物粪便污染的土壤、水或食物而作为中间宿主被感染。在各个畜牧国家,包虫病是症状最明显的寄生虫感染之一。肺是仅次于肝脏的第二常见受累器官。症状取决于病变的大小和部位。它可以表现为无症状的肺部病变,也可出现咯血、胸痛、咳嗽、过敏反应和休克。很少有报道称,在没有接触动物或非素食饮食的情况下出现孤立性肺包虫病病例。对于包虫病,血清学和影像学是诊断工具。手术切除和/或化疗是主要的治疗方法。在此,我们讨论一例年轻女性的持续性左下叶囊性病变病例,该女性有左侧乳腺癌手术史,最初认为是转移性病变,但在意外抽吸囊液以排除恶性肿瘤后最终确诊为肺包虫囊肿。在处理影像学上的囊性病变时,应始终将肺包虫病视为鉴别诊断之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5e1/5290789/455efaa55111/JFMPC-5-701-g001.jpg

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