Isolated musculoskeletal hydatid disease: diagnosis on fine needle aspiration and cell block

Avcı

Rev. Soc. Bras. Med. Trop.

et al. 2015

Introduction: Hydatid cysts are rarely detected in muscle tissue (0.7-0.9%), even in endemic countries. The aim of this study was to present information regarding the clinical manifestations, diagnosis, and management of muscle echinococcosis. Methods: Twenty-two patients with hydatid cysts in the muscle were followed from January 2006 through December 2014. Results: Twenty-four sites of muscle involvement were observed in the 22 patients. Fifteen (68%) of our patients were women, while seven (32%) were men. The mean age was 28.1 ± 15.4 (6-61) years. The most frequent locations were the thigh (27.2%) and the paravertebral region (13.6%). Most patients reported a painless slow-growing mass with normal overlying skin. Most (90.2%) cases were treated by surgical excision and fi ne-needle aspiration. Conclusions: Primary muscle hydatid cyst should be considered in the differential diagnosis in cystic masses of the muscular system without pain and localized enlargement of soft tissue, especially in endemic areas. Hydatid cyst should be investigated using serological tests and imaging modalities. If possible, total surgical excision of hydatid cyst in the muscle should be performed.

Section: Results Discussionmentioning

confidence: 99%

Hydatid cysts in muscles: clinical manifestations, diagnosis, and management of this atypical presentation

Avcı

Rev. Soc. Bras. Med. Trop.

et al. 2015

Diagnostic Cytopathology

“…Follow‐up serology (ELISA test for IgG detection) was performed, which was found to be positive in case 1 and negative in case 2. However, these immunodiagnostic tests were often unreliable in detection of hydatid disease (HD) and hence may not be helpful in making the clinical diagnosis …”

Section: Discussionmentioning

confidence: 99%

“…Osteoclastic giant cells scattered in a hypocellular or hemorrhagic background should alert the cytopathologist to search for other findings diagnostic of HD. Laminated membranes should not be neglected as they might be the only diagnostic clue to the diagnosis …”

Section: Discussionmentioning

confidence: 99%

“…Recently Hui M et al, Singh A et al, Wahane et al, and Yildiz et al have also diagnosed and described the cytological findings on FNAC …”

Section: Discussionmentioning

confidence: 99%

“…1 Hydatid cyst involving bone is extremely rare with incidence in literature ranging from 0.5% to 2.5% of the total reported cases, and is most commonly involves spine (from 50% to >60%), followed by the femur, tibia, humerus, skull, and ribs. [2][3][4][5] We present two cases of isolated primary osseous hydatidosis of proximal end of femur. Subsequently patient lost to follow-up and presented again after 2 months.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Hydatid cyst of femur, radiologically mimicking a sarcoma

Ramteke

Phulware

Shende

et al. 2019

Hydatid disease is a rare pathology, but relatively common in the Mediterranean, the Middle East, Central Asia, and East Africa. It may develop in almost any part of the body, although most hydatid cysts occur in the liver or in the lung. Bone involvement is rare, and accounts for only 0.5% to 4% of all locations. Most of the hydatid cyst are diagnosed on the basis of their clinical and radiological presentation. However, in cases with an atypical presentation, FNAC may be used to evaluate the nature of lesion.

Isolated primary hydatid disease of the breast masquerading a breast tumor: report of a case and review of the literature

2019

Self Cite

Hydatid disease commonly affects liver and lungs. The rare breast involvement is usually a part of generalized hydatid disease. Primary breast hydatidosis is exceptionally rare even in endemic area. A case of isolated primary hydatid disease of the breast is reported in an elderly Indian women presenting with a painless breast lump. On clinical and imaging evaluation, the lump masqueraded a breast tumor. Fine needle aspiration cytology and core needle biopsy of the mass were inconclusive for the tumor. Complete excision of the mass was performed, which upon histopathological examination confirmed the diagnosis of hydatid cyst. We reviewed the relevant literature with a brief discussion on management challenges. Hydatid cyst should always constitute a differential while evaluating a breast lump especially in endemic area.