Chandra Smita, Aggarwal Akanksha, Jethani Varuna
Department of Pathology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
Department of Pulmonary Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
J Cytol. 2025 Jul-Sep;42(3):178-180. doi: 10.4103/joc.joc_50_24. Epub 2025 Aug 29.
Hydatid cyst may mimic other diseases including carcinoma and tuberculosis which may raise diagnostic dilemma that may be more enhanced in areas where tuberculosis is endemic. This may result in delayed diagnosis of hydatid cyst leading to its complications. The present case is therefore being reported as it was clinically and radiologically diagnosed as tuberculosis but on fine needle aspiration cytology (FNAC) turned out to be a case of hydatid cyst. In addition, vigilant cytological examination revealed only protoscolices and hooklets instead of laminated cyst membrane which is more commonly and easily observed. FNAC serves as a valuable adjunctive tool in the diagnosis of hydatid cysts providing rapid and accurate diagnosis that can guide clinical management and improve patient outcome.
包虫囊肿可能会与其他疾病相似，包括癌症和结核病，这可能会引发诊断难题，而在结核病流行地区，这种难题可能会更加突出。这可能导致包虫囊肿的诊断延迟，进而引发其并发症。因此，报告本病例是因为其在临床和放射学上被诊断为结核病，但经细针穿刺细胞学检查（FNAC）结果却是包虫囊肿病例。此外，仔细的细胞学检查仅发现了原头节和小钩，而没有发现更常见且更容易观察到的层状囊肿膜。FNAC作为诊断包虫囊肿的一种有价值的辅助工具，可提供快速准确的诊断，从而指导临床管理并改善患者预后。
