Hydatid Cyst in Liver Masquerading As Metastatic Deposits From Ovarian Carcinoma

Abstract

Metastatic deposits from primary ovarian malignancy can manifest as cystic masses in the liver. In endemic areas, hydatid disease is an important differential in all cases of cystic hepatic masses. We report a case of a 55-year-old lady who presented with progressive abdominal distension and was diagnosed with primary ovarian high-grade serous carcinoma. Imaging revealed concurrent lesions in the liver that were thought to be metastatic deposits but was later diagnosed as hydatid cyst based on radiologic features and serology. We report this rare case to highlight the importance of suspecting a hydatid cyst in endemic areas and its varied manifestations.

Hydatid cyst management and follow-up in cancer patient

“…In summary, the management of concurrent hydatid cysts and cancer necessitates a comprehensive, patientcentered approach, emphasizing personalized care, close collaboration among healthcare professionals, and a profound comprehension of the intricacies involved in simultaneously treating both conditions 6,10,11,13,14 .…”

“…Cystic echinococcosis can affect any visceral organ in the body, including the lungs, brain, and kidneys. However, the liver is the most affected organ due to the bowel venous drainage system [1][2][3][4][5][6] Recent studies in Europe and Central Asia suggest a link between hydatids and tumors. Certain parasite antigens may inhibit tumor growth, indicating a protective effect against cancer by echinococcus.…”

“…Due to the rarity of such cases, there are no established guidelines for managing them. This literature review explores cases where individuals have experienced both cancer and hydatid cysts, examining their clinical manifestations, management strategies, prognosis, and post-treatment monitoring 4,6 .…”