Unusual locations of hydatid disease: A 10-year experience from a tertiary reference center in Western Turkey

Gün, Eylül; Etıt, Demet; Büyüktalanci, Dilara Özyiğit; Çakalağaoğlu, Fulya

doi:10.1016/j.anndiagpath.2017.01.011

Cited by 26 publications

(36 citation statements)

References 15 publications

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“…Венцислав М. Мутафчийски 1 , Георги И. Попиванов 2 , Михаил С. Табаков 3 , Владимир В. Василев 4 , Кириен Ц. Кьосев 5 , Роберто Кирочи 6 , Антони Т. Филипов 3 , Вирсавия С. Васева 7 , Георги Т. Байчев 8 , Рачо Рибаров 9 , Марина Н. Конакчиева 10…”

Section: кистозный эхинококкоз молочной железы диагностическая дилеммunclassified

“…[1][2][3] Recently, there have been reports from Turkey of unusual locations in 22%, based on 10-year experience. 4 Breast is an extremely rare primary site and the most frequently cited rate in the literature is 0.27%. 5 However, we believe this rate to be incorrect because most authors mechanically cited the study of Abi et al, based on 40 cases with rare localizations, published in 1989.…”

Section: Introductionmentioning

confidence: 99%

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Cystic Echinococcosis of the Breast - Diagnostic Dilemma or just a Rare Primary Localization

Mutafchiyski

Popivanov

Tabakov

et al. 2020

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Introduction: Although the liver and lung are the most frequently affected organs in cystic echinococcosis, the cysts may develop in any viscera and tissues. Breast is a rare primary localization with few cases described in the literature. We present an updated and systematic review and discuss the possible mechanisms of spreading, diagnostic and treatment options.Materials and methods: We performed a literature search in PUBMED using the key words ‘hydatid disease’, ‘cystic echinococcosis’ and ‘breast echinococcosis’ without time limitation. Only studies reporting breast cystic echinococcosis were included.Results: Overall, 121 cases with cystic echinococcosis and 2 with alveolar echinococcosis were reported. A total of 52 cases were included in the analysis. The mean size of cysts was 5.5 cm (range 1.7-12). The most common clinical presentation was painless lump presented from 4 months to 19 years before the final diagnosis. Most cases had isolated breast CE, few cases had synchronous localizations – femoral, thigh and lung, and previous liver CE. Most were active CL and CE1-2 cysts (72%). Ultrasound was used in 83%, followed by mammography (35%). Fine needle aspiration was reported in 27 cases with positive finding in 59%.Conclusions: In cases with cystic breast lesions from endemic regions we recommend the US as a gold standard. CT and MRT are more accurate but expensive tools without the potential to change the surgical tactic. In contrast to the other localizations of CE, complete excision of the cysts is the best diagnostic and treatment approach.

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Section: кистозный эхинококкоз молочной железы диагностическая дилеммunclassified

Section: Introductionmentioning

confidence: 99%

Cystic Echinococcosis of the Breast - Diagnostic Dilemma or just a Rare Primary Localization

Mutafchiyski

Popivanov

Tabakov

et al. 2020

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“…Echinococcosis is a zoonosis that continues to be a major public health problem in many parts of the world where it is still endemic [1][2][3][4][5]. All organs and/or tissues may be the site of single or multiple hydatid cyst (Kc) [6,7]. The most frequent locations of human hydatid disease are the liver (65-70% of cases) and the lungs (25% of cases) [2,4].…”

Section: Introductionmentioning

confidence: 99%

“…The extra-pulmonary and extrahepatic sites are exceptional and little known. They are therefore described as atypical or unusual by most authors [6][7][8], or even "ectopic" and "aberrant" by some [9].…”

Section: Introductionmentioning

confidence: 99%

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Primary Hydatid Cyst of the Thyroid Gland Revealed by Primary Hypothyroidism

Bouomrani¹

2018

JIDTM

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Introduction:The thyroid localization of the hydatid cyst (HC) remains exceptional and unusual even in countries where this Parasitosis is still endemic: its frequency varies from 0.1 to 0.6 ‰ depending on the series. It is most often asymptomatic or resulting in anterior cervical swelling or more rarely a hoarseness of the voice. We report an original observation of thyroid HC revealed by primary hypothyroidism.Observation: An eight-year-old patient with no notable pathological history was explored for normochromic normocytic anemia at 8 g/dl. The clinical examination found neither jaundice nor splenomegaly. There was anterior cervical swelling that was painless and lateralized to the right. No lymphadenopathy or other palpable mass was noted. Biology revealed peripheral hypothyroidism with TSH at 7.83 μIU/ml. The balance of hereditary hemolytic anemias was negative. Cervical ultrasonography and CT showed an anechoic anterior cervical mass 2.51 cm in diameter, occupying the right thyroid lobe, without micro calcifications, intracystic vegetation, or adenopathies. Hydatid serodiagnostic was positive. The diagnosis of thyroid HC was confirmed by histological examination post loboishmectomy. The total blood count and TSH were spontaneously corrected after one month of the surgery. Conclusion:The diagnosis of HC is worthy of mention in the presence of peripheral hypothyroidism with increased thyroid gland volume, especially in endemic areas. This location can sometimes hide associated thyroid neoplasia.

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