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Photoclinic
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B.Arya (MD) *   1, R.Azarhoush (MD) , MR.Mohammadi (MD) , A.Abbasi (MD) |
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Abstract: (27009 Views) |
| The patient was 58 years old lady, admitted due to recurrent right temporal cystic mass, with no previous histopathologic study. On physical examination, a 3*3 cm mobile, cystic mass was present with no other positive finding. Skull CT scanning revealed multilocular cystic lesion of right temporal soft tissue, without involvement of orbit, sinuses and temporal bone. Chest radiography and abdoman sonography was reported to be normal. She undergone operation of cyst evaluation and open underwent draiwage. She dishcharged after 3 days and no recurrence happened in one year follow up. Histopathologic study of the cyst contents, confimed the diagnosis of hydotid cyst. Hydatical cystis, most commonly involves the liver, then lungs and varely striated muscles may be involved at larval stage of edinococcus granulosus and rare edinococcus multilocularis, only in 3% of hydotid disease. Parasite spreads in hematogenous manner. Peritoneal, spleaic, mediastinal, renal, bone, heart, brain, muscular. Arterial, seminal vesicle involvement rarely happens. Preop sonography, CT scanning and MRI and serologic ELISA testing helps diagnosis. New method of FNA and cylologic study as noted by thial, et al may be diagnostic. Appropriate theropy is cysto-peri cystectomy or evacuation. Mebeandazole or albendazole orally as adjunct therapy before and after operation, specially when surgery is impossible may be valuable. |
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Full-Text [PDF 174 kb]
[English Abstract]
(21921 Downloads)
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Type of Study: Photoclinic |
Subject:
General
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| * Corresponding Author Address: Department of Surgery, Gorgan University of Medical Sciences. arye_b1339@yahoo.com |
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