Department of Orthopedics and Trauma, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Key Laboratory of High Incidence Disease Research in Xingjiang (Xinjiang Medical University), Ministry of Education, Urumqi, Xinjiang, China.
BMC Infect Dis. 2023 Mar 22;23(1):178. doi: 10.1186/s12879-023-08149-4.
Echinococcosis, also known as hydatid disease, is a zoonotic parasitic disease prevalent in pastoral areas, mainly involving the liver and lungs, and less frequently the bones and surrounding soft tissues. Diagnosis and treatment of bone hydatid disease is a challenge, and because of the insidious course of the disease, the lesions are often widely disseminated by the time patients seek medical attention.
A 29-year-old woman presented with a painless mass that was gradually increasing in size in the cervical thorax. Imaging revealed an enlarged clavicle with multiple bone cortical defects and the existence of cysts in the soft tissues surrounding the clavicle, for which complete excision of the clavicle and the attached cysts was performed. There was no recurrence of the cyst within one year after the operation, and the patient felt well and had normal shoulder joint movement.
Bone hydatid may appear in bones throughout the body, and cysts that leak from the bone into the surrounding soft tissues may spread at a relatively rapid rate. Prompt surgical removal of the affected bone and surrounding cysts is necessary for treatment.
包虫病又称棘球蚴病，是一种流行于牧区的人畜共患寄生虫病，主要累及肝脏和肺部，较少累及骨骼及周围软组织。骨包虫病的诊断和治疗具有挑战性，由于该病起病隐匿，患者就诊时病变往往广泛播散。
一名 29 岁女性因颈胸段无痛性肿块逐渐增大就诊。影像学检查显示锁骨增大，伴多发骨皮质缺损，锁骨周围软组织中有囊肿存在，遂行锁骨及附着囊肿完整切除术。术后 1 年内未见囊肿复发，患者感觉良好，肩关节活动正常。
骨包虫病可出现在全身骨骼，从骨内漏出的囊肿可能会较快向周围软组织扩散。对于该病，需要及时手术切除受累骨骼及周围囊肿。
