Department Infectious-Tropical Diseases and Microbiology, WHO Collaborating Centre on Strongyloidiasis and other Neglected Tropical Diseases, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Verona, Italy.
J Helminthol. 2024 Apr 17;98:e34. doi: 10.1017/S0022149X2400021X.
The diagnosis of cystic echinococcosis (CE) is based on imaging. Detection of a focal lesion with morphological characteristics of sensu lato metacestode is the starting point for the diagnostic workup. In organs explorable with ultrasound (US), this is the method of choice for both aetiological diagnosis of CE and staging of the CE cyst. Staging in terms of lesion morphology is also needed when serology is added to the diagnostic workflow when imaging alone is inconclusive. Finally, staging guides the clinical management of uncomplicated CE, especially in the liver. This commentary provides an overview of the most up-to-date evidence backing the above-mentioned role of US in the diagnosis and clinical management of CE. Finally, we outline future perspectives for the improvement of CE diagnosis.
囊性包虫病 (CE) 的诊断基于影像学。检测具有 sensu lato 中绦期形态特征的局灶性病变是诊断工作的起点。在可通过超声 (US) 检查的器官中，对于 CE 的病因诊断和 CE 囊肿的分期，这是首选方法。当仅影像学检查不确定时，将血清学添加到诊断工作流程中，就需要根据病变形态进行分期。最后，分期指导未合并症 CE 的临床管理，特别是在肝脏中。本评论概述了最新的循证医学证据，支持 US 在 CE 诊断和临床管理中的上述作用。最后，我们概述了提高 CE 诊断水平的未来展望。
