PDF(Pubmed)
Abstract：
BACKGROUND: Intermuscular hydatid cyst is one of the rarest types of hydatid cyst, and as far as we know, only nine cases were reported in the literature before this study.
METHODS: We present a 10-year-old Iranian child with an intermuscular cystic mass in the medial-distal thigh. Despite the typical imaging findings, the patient\'s serological and hematological tests were negative for hydatid cyst. The cyst underwent wide excision accompanied by neoadjuvant and adjuvant chemotherapy with Albendazole. No evidence of recurrence was detected during the one-year follow-up.
CONCLUSIONS: Hydatid cysts should always be considered in the differential diagnosis of soft tissue cystic masses in endemic areas, and aspiration or drainage should be avoided as much as possible, even when serological tests are negative and imaging is non-diagnostic. In cases where the diagnosis of a hydatid cyst has been confirmed before the surgery, it is recommended to approach the cyst, like a tumor with chemotherapy using Albendazole both before and after wide cyst excision.
METHODS: We present a 10-year-old Iranian child with an intermuscular cystic mass in the medial-distal thigh. Despite the typical imaging findings, the patient\'s serological and hematological tests were negative for hydatid cyst. The cyst underwent wide excision accompanied by neoadjuvant and adjuvant chemotherapy with Albendazole. No evidence of recurrence was detected during the one-year follow-up.
CONCLUSIONS: Hydatid cysts should always be considered in the differential diagnosis of soft tissue cystic masses in endemic areas, and aspiration or drainage should be avoided as much as possible, even when serological tests are negative and imaging is non-diagnostic. In cases where the diagnosis of a hydatid cyst has been confirmed before the surgery, it is recommended to approach the cyst, like a tumor with chemotherapy using Albendazole both before and after wide cyst excision.
摘要：
背景：肌间包虫囊肿是最罕见的包虫囊肿类型之一，据我们所知,在本研究之前,文献中只报道了9例病例.
方法：我们介绍了一名10岁的伊朗儿童，其大腿内侧远端肌间囊性肿块。尽管有典型的影像学发现，患者的血清学和血液学检查为包虫囊肿阴性。囊肿进行了广泛切除，并辅以阿苯达唑的新辅助和辅助化疗。在一年的随访中没有发现复发的证据。
结论：包虫囊肿在地方性软组织囊性肿块的鉴别诊断中应始终考虑，应尽可能避免抽吸或排水，即使血清学检查阴性且影像学检查不可诊断。在手术前已确认包虫囊肿的诊断的情况下，建议接近囊肿，例如在广泛的囊肿切除术之前和之后使用阿苯达唑进行化疗的肿瘤。
方法：我们介绍了一名10岁的伊朗儿童，其大腿内侧远端肌间囊性肿块。尽管有典型的影像学发现，患者的血清学和血液学检查为包虫囊肿阴性。囊肿进行了广泛切除，并辅以阿苯达唑的新辅助和辅助化疗。在一年的随访中没有发现复发的证据。
结论：包虫囊肿在地方性软组织囊性肿块的鉴别诊断中应始终考虑，应尽可能避免抽吸或排水，即使血清学检查阴性且影像学检查不可诊断。在手术前已确认包虫囊肿的诊断的情况下，建议接近囊肿，例如在广泛的囊肿切除术之前和之后使用阿苯达唑进行化疗的肿瘤。
