Essadki O, el Hajjam M, Kadiri R
Service Central de radiologie, CHU Ibn Rochd, Casablanca, Maroc.
Ann Radiol (Paris). 1996;39(3):135-41.
Hydatid disease of the soft tissues is rare, with a frequency between 2.4 and 5.3% of all sites of hydatid disease. We report a retrospective study of 6 cases of hydatid cyst of soft tissues. The mean age of our patients was 36 years (range: 25 and 63 years) and the sex-ratio was 5 females to 1 male. The clinical symptoms consisted in a mass which had been present for a mean of 12 months. Plain X-rays showed a water density mass with no associated bone lesions. Ultrasonography and computed tomography defined the features of the hydatid cysts, which were situated in muscle in 5 cases and in the subcutaneous tissue in 1 case. Their dimensions varied between 1.5 and 25 cm. All types of Gharbi's classification were observed. Secondary hydatid cysts outside of the soft tissues were observed in 2 patients. Medical imaging, essentially ultrasonography, was suggestive of the diagnosis. Computed tomography provided more precise information concerning the number, site and morphology of the lesions and was able to eliminate neoplastic disease.
软组织包虫病较为罕见，在所有包虫病发病部位中占比为2.4%至5.3%。我们报告了一项对6例软组织包虫囊肿的回顾性研究。患者的平均年龄为36岁（范围：25至63岁），男女比例为1:5。临床症状表现为一个肿物，平均存在时间为12个月。X线平片显示为水样密度肿物，无相关骨质病变。超声检查和计算机断层扫描明确了包虫囊肿的特征，其中5例位于肌肉内，1例位于皮下组织。其大小在1.5至25厘米之间。观察到了所有类型的加尔比分类。2例患者在软组织外出现了继发性包虫囊肿。医学影像学检查，主要是超声检查，提示了诊断。计算机断层扫描提供了有关病变数量、部位和形态的更精确信息，并能够排除肿瘤性疾病。
