Birol Ismail Eren, Toprak Sukru Salih, Gurel Fatih
Department of Medical Pathology, Karaman Training and Research Hospital, Karaman, Turkey.
Department of General Surgery, Karaman Training and Research Hospital, Karaman, Turkey.
Iran J Parasitol. 2024 Oct-Dec;19(4):509-514. doi: 10.18502/ijpa.v19i4.17174.
From a global perspective, hepatocellular carcinoma (HCC) and hydatid cyst disease are both common; however, the endemic and zoonotic nature of hydatid cysts (due to larvae) makes the simultaneous detection of the two conditions a rare occurrence. In this case report, in a 43-year-old male patient, we aim to draw attention to the potential coexistence of HCC and liver hydatid cysts by presenting a case in which HCC tissue was detected in the cyst wall-removed by emergency surgery due to cyst perforation. Hydatid lesions in the liver may exhibit tumor-like growth characteristics. Consequently, identifying a hydatid cyst concomitant with HCC can be challenging, particularly when HCC has developed within the cystic structure. Careful assessment of resected tissues and detailed diagnostic approaches can facilitate the identification of such cases, even if the risk of HCC in patients with hydatid cysts is marginal. It may be advisable to suggest periodic monitoring with HCC-related markers and liver imaging methods.
从全球范围来看，肝细胞癌（HCC）和包虫囊肿病都很常见；然而，包虫囊肿的地方性和人畜共患性质（由于幼虫）使得同时检测到这两种情况很少见。在本病例报告中，对于一名43岁男性患者，我们旨在通过呈现一例因囊肿穿孔而紧急手术切除囊肿壁后检测到HCC组织的病例，引起对HCC与肝包虫囊肿潜在共存情况的关注。肝脏中的包虫病变可能表现出肿瘤样生长特征。因此，识别与HCC并存的包虫囊肿可能具有挑战性，尤其是当HCC在囊性结构内发展时。仔细评估切除组织和采用详细的诊断方法有助于识别此类病例，即使包虫囊肿患者发生HCC的风险很小。建议采用与HCC相关的标志物和肝脏成像方法进行定期监测。
