Department B, Abderrahmen Mami Hospital, 2080 Ariana, Tunisia.
Department B, Abderrahmen Mami Hospital, 2080 Ariana, Tunisia.
Arch Pediatr. 2021 May;28(4):273-277. doi: 10.1016/j.arcped.2021.02.017. Epub 2021 Mar 24.
Lungs are the second most common site for hydatid disease after the liver. Giant hydatid cyst (GHC) of the lung is a special clinical entity in children and is related to higher lung tissue elasticity.
To compare clinical and imaging features, types of surgical interventions, and postoperative complications in pulmonary GHC and non-giant pulmonary hydatid cysts (NGHC) in children.
A retrospective study was undertaken. The data analyzed were taken from medical records of children with pulmonary hydatid cyst (PHC) hospitalized in a pulmonary department in Tunisia between January 2004 and February 2019. Cysts were divided according to their size into GHC ( ≥10cm) and NGHC (<10cm).
In the study period, 108 PHC were recorded in 84 children. GHC accounted for 21 (19.4%) and NGHC for 87 (80.6%). The median of age of the children was 11 years (IQR 1-9, IQR 3-14) and the mean age was 11.6 years (10.5 in GHC vs. 11.4 years in NGHC). Hemoptysis was found in 25% of the GHC group vs. 48.4% of the NGHC group (P=0.27). Cysts were multiple in 23.8% of cases and predominated in the right in 64.3% of cases and in the inferior lobes in 71.4% of the cases. GHCs were less frequently complicated (60% vs. 78.1% in NGHC, P≤0.11), although not significantly. Parenchymal resection was realized in 50% of GHC vs. 18.8% of NGHC (P=0.006). No significant difference was found in postoperative complications between the two groups and there was no recurrence in either group.
GHC is a special clinical entity in children. It requires major surgery with parenchymal resection, and therefore early diagnostic and therapeutic management is warranted.
肺是仅次于肝脏的第二大常见包虫病部位。肺巨大包虫囊肿（GHC）是儿童中的一种特殊临床实体，与较高的肺组织弹性有关。
比较儿童肺巨大包虫囊肿（GHC）和非巨大肺包虫囊肿（NGHC）的临床和影像学特征、手术干预类型和术后并发症。
进行了一项回顾性研究。分析的数据来自 2004 年 1 月至 2019 年 2 月期间在突尼斯肺部科住院的儿童肺包虫囊肿（PHC）患者的病历。根据囊肿大小将其分为 GHC（≥10cm）和 NGHC（<10cm）。
在研究期间，记录了 84 名儿童的 108 例 PHC。GHC 占 21 例（19.4%），NGHC 占 87 例（80.6%）。儿童的中位年龄为 11 岁（IQR 1-9，IQR 3-14），平均年龄为 11.6 岁（GHC 为 10.5 岁，NGHC 为 11.4 岁）。咯血在 GHC 组中占 25%，在 NGHC 组中占 48.4%（P=0.27）。23.8%的病例有多个囊肿，64.3%的病例囊肿位于右侧，71.4%的病例囊肿位于下叶。GHC 较少合并（60%对 NGHC 的 78.1%，P≤0.11），尽管无统计学意义。GHC 中有 50%行实质切除术，而 NGHC 中有 18.8%（P=0.006）。两组术后并发症无显著差异，两组均无复发。
GHC 是儿童中的一种特殊临床实体。它需要进行主要的手术切除，因此需要早期进行诊断和治疗管理。
