Ran B, Wang M, Jian W, Jiang T, Zhang R, Guo Q, Zhang W, Wen H, Shao Y, Aji T
Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, First Affiliated Hospital of Xinjiang Medical University, State137 Liyushan South Road, Xinshi District, Xinjiang, Urumqi 830011, P.R. China.
J Helminthol. 2019 Aug 30;94:e80. doi: 10.1017/S0022149X19000385.
The co-occurrence of hepatic cystic echinococcosis (CE) and alveolar echinococcosis (AE) is extremely rare. Here, we present the clinical manifestations and treatment outcomes of three cases with co-occurring CE and AE in the liver. Computed tomography (CT), magnetic resonance imaging and 18FFluorodeoxyglucose Positron Emission Tomography-CT were used for preoperative diagnosis. Specimens were taken intraoperatively and sent for pathological studies to confirm the coexistence of CE and AE by laminated membrane, daughter cysts or germinal layer and infiltration structure. Albendazole was prescribed after operation for 12 months. All patients were completely recovered and showed no recurrence at last follow-up. Therefore, surgical intervention and postoperative application of albendazole are recommended for patients with concurrence of hepatic AE and CE.
肝囊性棘球蚴病（CE）与泡型棘球蚴病（AE）同时存在极为罕见。在此，我们报告3例肝脏同时存在CE和AE的临床表现及治疗结果。术前诊断采用计算机断层扫描（CT）、磁共振成像和18F氟脱氧葡萄糖正电子发射断层扫描-CT。术中取材并送病理检查，通过分层膜、子囊或生发层及浸润结构证实CE和AE并存。术后给予阿苯达唑治疗12个月。所有患者均完全康复，末次随访时无复发。因此，对于肝AE和CE并存的患者，建议采取手术干预并术后应用阿苯达唑。
