Radiotherapy of osseous echinococcosis: where is the evidence?

Neumayr, Andreas

doi:10.1016/j.ijid.2015.01.005

Cited by 5 publications

(8 citation statements)

References 22 publications

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“…In general symptoms arise from the expansive effect of the lesion: number, size and developmental status of the cyst (active or inactive) and anatomical site being the critical factors [1]. Musculoskeletal affection usually comes along with a sometimes painful mass, osseous involvement can result in a pathological fracture or -in the case of a spinal lesion -paraplegia and scoliosis [6,14]. The clinical presentation of our 2 cases was quite unspecific.…”

Section: Background Discussion and Conclusionmentioning

confidence: 85%

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An Uncommon Cause of Soft Tissue Mass of the Extremities, Report of 2 Cases and Review of Literature of Cystic Echinococcosis

Goldenitsch¹,

Machacek²

2016

Primary Health Care

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Section: Background Discussion and Conclusionmentioning

confidence: 85%

“…Cystic echinococcosis or hydatid disease is by Echinococcus granulosus. Its natural cycle is as a cyst in sheep and as a tapeworm in dogs [1,6]. Humans become infected by ingesting food or water contaminated with dog's faeces containing the eggs of the parasite or when they handle infected dogs [1].…”

Section: Background Discussion and Conclusionmentioning

confidence: 99%

An Uncommon Cause of Soft Tissue Mass of the Extremities, Report of 2 Cases and Review of Literature of Cystic Echinococcosis

Goldenitsch¹,

Machacek²

2016

Primary Health Care

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Section: Treatmentmentioning

confidence: 99%

“…There is a consensus that a combination of surgical and medical approaches is optimal; however, there is still disagreement about the details 13,[19][20][21][22][23][24][25][26][27][28] . Surgery mainly comprises resection of infected tissue 5,[22][23][24][25][26] . Despite the risk of recurrence and reinvasion, simple drainage or debridement are treatment options that are readily accepted by many patients 19,[22][23][24][25][26][27][28] .…”

Section: Treatmentmentioning

confidence: 99%

“…Surgery mainly comprises resection of infected tissue 5,[22][23][24][25][26] . Despite the risk of recurrence and reinvasion, simple drainage or debridement are treatment options that are readily accepted by many patients 19,[22][23][24][25][26][27][28] . Alternatively, sites of resection or infected spaces can be filled with cement, bone grafts or endoprostheses 5 .…”

Section: Treatmentmentioning

confidence: 99%

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Musculoskeletal Hydatid Cysts Resembling Tumors: A Report of Five Cases

Toğral

Arıkan

Ekiz

et al. 2016

Orthopaedic Surgery

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Although challenges in treatment of musculoskeletal hydatid cysts (HC) lesions have been documented, data regarding the musculoskeletal HC lesions resembling tumor is scarce. This paper presented 5 patients (3 males, 2 females) with a mean age of 41.6 years with tumor-like lesions of HC. Three of them had left ilium and acetabulum involvement, one involved left femur, and one involved left thigh muscle compartments. Pain was the main symptom and was seen in all patients. Clinical examination, radiologic evaluation, and histologic analysis were performed for diagnosis. Patients were treated through different surgical options, including simple debridement, bone cement filling with or without internal fixation, hip arthrodesis, reconstruction using hemipelvic replantation with femoral prosthesis and distal femur endoprosthetic replacement. After surgery, the operation region was washed by 20% hypertonic saline, and debridement was performed carefully without contamination. All patients received albendazole treatment. Cases were followed up 1 to 9 years for the recurrence. Walking difficulty and pain were the main symptoms during the follow-up. One patient was symptom-free. A reoccurrence in the perioperative soft tissue was detected in only one patient and control visits with antihelmintic treatment were recommended. We would like to emphasize that HC should be kept in mind for the differential diagnosis of the cystic or tumoral lesions of the musculoskeletal system, particularly in the endemic regions. Prompt diagnosis is of paramount importance for preventing destruction and complications.

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