Kafadar Mehmet Tolga, Çetinkaya İsmail
Clinic of General Surgery, Health Sciences University Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey.
J Surg Case Rep. 2017 Nov 23;2017(11):rjx219. doi: 10.1093/jscr/rjx219. eCollection 2017 Nov.
Hydatid cysts is most often characterized by hepatic and pulmonary involvement, but it also rarely involves other body parts and systems. Axillary involvement by hydatid cysts is considerably rare in countries with endemic hydatid cyst manifestation, and cases from countries like Turkey are still widely reported. A young woman aged 24 years was seen at our clinic for a painful axillary mass. She was detected by a thoracoabdominal tomographic examination to have a localized multilocular cystic mass in her left axillary region; the mass showed little soft tissue invasion at its periphery but no hepatic or pulmonary involvement at all. It was excised from its stalks and totally removed. The diagnosis of hydatid cyst was made by macroscopic and microscopic examination. It was highlighted by this case report that the differential diagnosis of palpable masses in axillary region should include hydatid cyst, particularly in areas where the disease is endemic.
包虫囊肿最常表现为肝脏和肺部受累,但也很少累及身体其他部位和系统。在有地方性包虫囊肿表现的国家,腋窝受累的包虫囊肿相当罕见,而来自土耳其等国的病例仍有广泛报道。一名24岁的年轻女性因腋窝肿块疼痛前来我院就诊。经胸腹部断层扫描检查发现,她左腋窝区域有一个局限性多房囊性肿块;肿块周边几乎没有软组织侵犯,但完全没有肝脏或肺部受累。它从蒂部切除并完全移除。通过宏观和微观检查做出了包虫囊肿的诊断。该病例报告强调,腋窝区域可触及肿块的鉴别诊断应包括包虫囊肿,特别是在该病流行的地区。