1344: US Diagnosis in Differentiation of Benign from Malignant Soft Tissue Musculoskeletal Lesions Compared with CT and MR

Vasilevska, V.; Глигориевски, Антонио; Kirjas, N.; Zafiroski, George; Janevska, Vesna; Gjorevski, K.; Tolevska,

doi:10.1016/j.ultrasmedbio.2009.06.729

Cited by 1 publication

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“…In cases of soft tissue echinococcosis, a palpable slow-growing mass is the most common clinical nding. The clinical manifestations are caused by compression of the affected organ (9). However, to the best of our knowledge, there have been no previous reports of hydatid cysts in muscle tissue presenting with peripheral nerve symptoms as the initial manifestation.…”

Section: Discussionmentioning

confidence: 99%

“…Utilizing all available imaging methods signi cantly contributes to the preoperative diagnosis. Different imaging modalities are complementary and often provide a de nitive preoperative diagnosis (9). Ultrasound and CT imaging can reveal a calci ed cyst wall, microcalci cations in daughter cysts, and different uid densities between the cysts and surrounding organs (9,14).…”

Section: Discussionmentioning

confidence: 99%

“…Different imaging modalities are complementary and often provide a de nitive preoperative diagnosis (9). Ultrasound and CT imaging can reveal a calci ed cyst wall, microcalci cations in daughter cysts, and different uid densities between the cysts and surrounding organs (9,14). MRI is the preferred examination when hydatid disease is suspected.…”

Section: Discussionmentioning

confidence: 99%

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Giant Muscle Hydatid in Lower Extremity: A Rare Case with Neurological Symptoms as the First Manifestation

Jia

Guo

et al. 2023

Preprint

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Background: Human hydatid disease typically occurs in organs such as the liver and kidney. Primary solitary intramuscular hydatid disease, however, is rare. Case Presentation: We report a case of a giant muscle hydatid in the lower extremity, with neurological symptoms as the first manifestation. The symptoms specifically manifested as intermittent pain in the right lower extremity and numbness in the sole of the right foot. However, there were no obvious abnormalities detected in electromyography and lumbar MRI. Subsequent ultrasonography and calf MRI showed that the patient had cystic lesions in the calf. The patient was initially diagnosed with a muscle hydatid cyst. Treatment involved complete surgical excision of the lesion, and the diagnosis of a hydatid cyst was confirmed through macroscopic and microscopic histopathological examination after the mass was excised. The patient was given oral albendazole, and no recurrence was observed during the 12 months of follow-up. Conclusions: This case underscores the importance of considering hydatid disease in the differential diagnosis of soft tissue masses in the muscular system, particularly in endemic areas. Patients may also present with atypical symptoms, such as peripheral nerve symptoms, as their primary complaint.

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Section: Discussionmentioning

confidence: 99%