Synchronous association of hepatocellular carcinoma and cystic echinococcosis with unusual pathology: report on diagnostic and pathological variability
| Autor: | Raghavendra Babu, Sushrutha Chikkanayakanahalli Suresh, Nagesh N Swamy, Pritik A Shah |
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| Rok vydání: | 2023 |
| Předmět: |
Male
Pathology medicine.medical_specialty Carcinoma Hepatocellular Abdominal cavity Echinococcosis Zoonoses parasitic diseases medicine Outpatient clinic Animals Humans Cyst Echinococcus granulosus Aged medicine.diagnostic_test biology business.industry Liver Neoplasms Interventional radiology General Medicine Pathology Report medicine.disease biology.organism_classification Echinococcus medicine.anatomical_structure Hepatocellular carcinoma Abdomen business |
| Zdroj: | BMJ case reports. 14(12) |
| ISSN: | 1757-790X |
| Popis: | Cystic hydatid disease or cystic echinococcosis (CE) is a globally endemic zoonosis caused by the larval cyst stage of the tapeworm Echinococcus granulosus. Concomitant presence of CE and hepatocellular carcinoma (HCC) is a rare clinical scenario. A 70-year-old male patient presented with acute abdominal pain to the surgical outpatient department. On evaluation, a cystic lesion with solid components and free fluid in the abdomen was observed, which led to multiple differentials in the working diagnosis. A CT showed the mass to have a delayed enhancement. Surgical exploration revealed a partially ruptured hydatid cyst with daughter cysts in the abdominal cavity and a solid-component mass lesion. We proceeded with a right partial hepatectomy. Pathological evaluation revealed a pale mass lesion with a large collapsed cyst. HCC with unusual dense fibrillar fibrosis and cystic interface with normal parenchyma was observed. This case connects the multimodal assessment of radiology, surgery and pathology. |
| Databáze: | OpenAIRE |
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