Two Cases of Disseminated Alveolar Echinococcosis: The Diagnosis, Management, and Differential Considerations for Liver Lesions

  • Hirano Kazuki
    Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Japan, Japan Department of Gastroenterology, Toranomon Hospital, Japan
  • Maruki Yuta
    Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Japan, Japan
  • Yamashige Daiki
    Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Japan, Japan
  • Kobayashi Osamu
    Department of Infection, National Cancer Center Japan, Japan
  • Shiotsuka Mika
    Department of Infection, National Cancer Center Japan, Japan
  • Morizane Chigusa
    Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Japan, Japan
  • Imamura Tsunao
    Department of Diagnostic Pathology, National Cancer Center Japan, Japan
  • Hiraoka Nobuyoshi
    Department of Diagnostic Pathology, National Cancer Center Japan, Japan
  • Okusaka Takuji
    Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Japan, Japan

抄録

<p>Alveolar echinococcosis (AE), caused by Echinococcus multilocularis, is an aggressive and potentially critical infestation that primarily affects the liver and can metastasize to any part of the body. We herein report two cases of echinococcosis, which could be differentiated from malignancy on imaging studies, with infections of the liver and mediastinal lymph nodes, and also associated with systemic disseminated lesions. AE is a very invasive infectious disease, and in order to detect such lesions at an early stage when they are still resectable, it is necessary to understand the characteristic imaging findings and determine the patient's current medical history. </p>

収録刊行物

  • Internal Medicine

    Internal Medicine 63 (9), 1247-1252, 2024-05-01

    一般社団法人 日本内科学会

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