Harris K M, Morris D L, Tudor R, Toghill P, Hardcastle J D
Br J Surg. 1986 Oct;73(10):835-8. doi: 10.1002/bjs.1800731025.
The advances of hydatid chemotherapy and the non-operative management of simple (epithelial) hepatic cysts make a correct diagnosis of increasing importance. Twenty-six patients with hepatic hydatid cysts and eleven with simple cysts were reviewed. In both groups clinical presentation was most frequently due to pain. Sex, age and size of the cysts were similar. Hydatid serology was negative in six of the hydatid patients (23 per cent). None of the simple cyst patients had positive serology but one had a borderline titre. Ultrasound and computerized tomography identified daughter cysts within the main cyst in only 17 hydatid cysts (65 per cent) and considerable intra-cyst debris was also present in five of the simple cysts. Seven of the simple cysts were deroofed surgically and the remainder underwent percutaneous aspiration. Sixteen of the hydatid cysts were found to have a biliary communication whereas this was not found with any simple cyst. The difficulties in making a precise diagnosis in some patients with a liver cyst should deter the interventional radiologist and restrain the hydatid chemotherapist.
肝包虫病化疗的进展以及单纯（上皮性）肝囊肿的非手术治疗使得正确诊断变得越来越重要。回顾了26例肝包虫囊肿患者和11例单纯囊肿患者。两组患者的临床表现最常见的原因都是疼痛。囊肿患者的性别、年龄和大小相似。6例包虫病患者（23%）的包虫血清学检查呈阴性。单纯囊肿患者的血清学检查均为阴性，但有1例滴度处于临界值。超声和计算机断层扫描仅在17个包虫囊肿（65%）中发现主囊肿内有子囊，5个单纯囊肿内也有大量囊内碎屑。7个单纯囊肿接受了手术去顶，其余的接受了经皮穿刺抽吸。发现16个包虫囊肿存在胆管相通，而单纯囊肿均未发现这种情况。在一些肝囊肿患者中进行精确诊断存在困难，这应使介入放射科医生谨慎行事，并限制包虫病化疗医生的操作。
