肺泡型棘球蚴病的诊断难点（病例报告）
Difficulties in diagnosing the alveolar echinococcosis (case report).
作者信息
Kaliyeva Dinar, Yukhnevich Yekaterina, Abatov Nurkassi, Nurbekov Aydin
机构信息
Department of Surgical Diseases, Karaganda Medical University, 40, Gogolia str, Karaganda 10017, Kazakhstan.
Department of Clinical Pharmacology and Evidence-Based Medicine, Karaganda Medical University, 40, Gogolia str, Karaganda 10017, Kazakhstan.
出版信息
Int J Surg Case Rep. 2020;75:258-260. doi: 10.1016/j.ijscr.2020.08.025. Epub 2020 Aug 31.
INTRODUCTION
Alveolar echinococcosis is dangerous parasitic zoonose with the large endemic area. This disease has a high prevalence in Kazakhstan.
PRESENTATION OF CASE
We report on a 45-year woman suffering from alveolar echinococcosis with a huge cystic mass and difficulty of differential diagnosis. She was hospitalized for surgery with primary diagnosis of hydatid disease. The liver carcinoma was suspected during surgery due to the huge size and structure of the mass. This mass was totally removed. The alveolar echinococcosis was confirmed by histopathological examination.
DISCUSSION
Essential features of this case are the large size of the lesion with a dense consistency and the germination of blood vessels, which unusual for alveolar echinococcosis. Total resection and Albendazole therapy was successful for patient, she didn't have a relapse during the follow-up examination.
CONCLUSION
This report may provide new aspects of visualization of alveolar echinococcosis and highlight the necessity for the upgrade of the diagnosis tactic.
引言
肺泡型棘球蚴病是一种危险的寄生虫性人畜共患病，流行区域广泛。该病在哈萨克斯坦发病率很高。
病例介绍
我们报告了一名45岁患有肺泡型棘球蚴病的女性，其患有巨大囊肿性肿块且鉴别诊断困难。她因初步诊断为包虫病而住院接受手术。由于肿块的巨大尺寸和结构，手术期间怀疑为肝癌。该肿块被完全切除。经组织病理学检查确诊为肺泡型棘球蚴病。
讨论
该病例的主要特征是病变体积大、质地致密以及血管增生，这在肺泡型棘球蚴病中并不常见。对患者进行全切除和阿苯达唑治疗取得成功，在随访检查期间她未复发。
结论
本报告可能为肺泡型棘球蚴病的可视化提供新的视角，并强调升级诊断策略的必要性。
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