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卵巢癌还是包虫病?一例病例报告。

Ovarian Cancer or Hydatidosis? A Case Report.

作者信息

Nosrati Anahita, Soleymani Eissa, Davoodi Lotfollah

机构信息

Hematopathology-Molecular and Cytogenetic Unit, Pathology Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Research Committee, Razi Educational Hospital, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Iran J Parasitol. 2018 Jul-Sep;13(3):500-504.

Abstract

has been described as the common etiology of hydatid cysts in many parts of the world. A 54-yr-old female with lower abdominal pain referred to Gynecology Ward of Sari Imam Khomeini Hospital, Iran in 2016. Sonography was carried out and cysts in ovaries and liver were observed. The cysts of liver seemed to be hydatidosis but physicians were suspected about ovarian cystic mass. Anti- antibodies (ELISA) screen was positive. The operation was done on her and treatment by albendazole started one week before surgery and continued after discharge from the hospital. Pathology confirmed hydatidosis in ovary, also patient follow-up was performed for three months by abdominal CT scan that showed peritoan full of many small hydatid cysts. Uncommon locations for constitution of hydatid cysts such as ovary and peritoan often make the diagnosis very difficult. Hydatidosis is considered in differential diagnosis of any cysts of the entire body, especially in endemic countries such as Iran.

摘要

在世界许多地区,已被描述为包虫囊肿的常见病因。2016年,一名54岁的下腹痛女性被转诊至伊朗萨里伊玛目霍梅尼医院的妇科病房。进行了超声检查,观察到卵巢和肝脏有囊肿。肝脏囊肿似乎是包虫病,但医生对卵巢囊性肿块存疑。抗抗体(ELISA)筛查呈阳性。对她进行了手术,并在手术前一周开始用阿苯达唑治疗,出院后继续治疗。病理证实卵巢有包虫病,还通过腹部CT扫描对患者进行了三个月的随访,结果显示腹膜充满许多小包虫囊肿。包虫囊肿形成的罕见部位,如卵巢和腹膜,往往使诊断非常困难。在对全身任何囊肿进行鉴别诊断时,尤其是在伊朗等流行国家,都应考虑包虫病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/002c/6243175/3487608fe607/IJPA-13-500-g001.jpg

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