Asnani Ritu, Yeshvanth Sunil Kumar, Lobo Lancelot, Sonkusare Shipra
Department of Pathology, K. S. Hegde Medical Academy, Mangalore, Karnataka, India.
Department of Surgery, K. S. Hegde Medical Academy, Mangalore, Karnataka, India.
J Lab Physicians. 2021 Mar;13(1):77-79. doi: 10.1055/s-0041-1726668. Epub 2021 May 19.
Hydatid cyst is a zoonotic infection and a significant public health problem in low- and middle-income countries. A 79-year-old female patient was presented to the gynecology outpatient department with complaints of pain in the abdomen and difficulty in micturition, with a mass palpable per speculum. The ultrasound was suggestive of an ovarian cystadenocarcinoma, whereas computed tomography of the abdomen favored hydatid cyst with adnexal neoplasm as a differential diagnosis. Considering the contradictory findings, a frozen section was sent to confirm the diagnosis, which showed hooklets of /hydatid cyst under the microscope. This was a rare case of pelvic hydatid cyst mimicking ovarian malignancy and was associated with a less-preferred mode of investigation (frozen section). This article focuses on how a frozen section, despite its limitations and being expensive, can still be considered for accurate patient management.
包虫囊肿是一种人畜共患感染病，在低收入和中等收入国家是一个重大的公共卫生问题。一名79岁女性患者因腹部疼痛和排尿困难就诊于妇科门诊，窥器检查可触及肿块。超声提示为卵巢囊腺癌，而腹部计算机断层扫描则倾向于诊断为包虫囊肿并伴有附件肿物作为鉴别诊断。考虑到检查结果相互矛盾，遂送冰冻切片以确诊，显微镜下显示有包虫囊肿的小钩。这是一例罕见的盆腔包虫囊肿酷似卵巢恶性肿瘤的病例，且与一种不太常用的检查方式（冰冻切片）有关。本文重点探讨了尽管冰冻切片有其局限性且费用高昂，但仍可用于准确的患者管理。
