Alveolar Echinococcosis Mimicking a Hepatic Neoplasm with Lymph Node Metastasis: A Case Report

Overview

Journal Case Rep Gastroenterol

Publisher Karger

Specialty Gastroenterology

Date 2018 Nov 3

PMID 30386197

Citations 4

Authors

Takahiro Amano

Shiro Hayashi

Tsutomu Nishida

Tokuhiro Matsubara

Kei Takahashi

Dai Nakamatsu

Yoshito Tomimaru

Masashi Yamamoto

Sachiko Nakajima

Koji Fukui

Hiromi Tamura

Shiro Adachi

Keizo Dono

Masami Inada

Affiliations

Soon will be listed here.

Abstract

A 37-year-old man had an asymptomatic 17-mm mass in the liver by health check with ultrasonography. Five years later, he was referred to our hospital because the mass was slightly enlarged with a peripancreatic lymph node. We performed endoscopic ultrasonography fine-needle aspiration (EUS-FNA) to evaluate a lymph node, but it showed amorphous eosinophilic material and eosinophilic infiltrate in necrotic tissue of toothpaste-like white specimen. However, we diagnosed as potentially malignant liver mass with lymph node metastasis because of 2-deoxy-2-(fluorine-18) fluorodeoxyglucose uptake. We then performed hepatectomy and enucleation of the pancreas. DNA polymerase chain reaction analysis revealed infection. Retrospectively, we could find a part of in the specimens of EUS-FNA.

Citing Articles

Fifty-five cases of hepatic alveolar echinococcosis combined with lymph node metastasis: A retrospective study.

Aimaitijiang Y, Jiang T, Shao Y, Aji T World J Gastroenterol. 2024; 30(23):2981-2990.

PMID: 38946870 PMC: 11212701. DOI: 10.3748/wjg.v30.i23.2981.

Complementary comments on metastatic liver lesions with exceptional and rare cases.

Memis K, Aydin S World J Gastroenterol. 2024; 30(7):770-773.

PMID: 38515950 PMC: 10950620. DOI: 10.3748/wjg.v30.i7.770.

Treatment of Complicated Hepatic Alveolar Echinococcosis Disease With Suspicious Lymph Node Remote Metastasis Near the Inferior Vena Cava-Abdominal Aorta: A Case Report and Literature Review.

Xu X, Gao C, Qian X, Liu H, Wang Z, Zhou H Front Oncol. 2022; 12:849047.

PMID: 35402272 PMC: 8987535. DOI: 10.3389/fonc.2022.849047.

Suspected Regional Lymph Node Metastasis in Hepatic Alveolar Echinococcosis: A Case Report.

Wang Q, Cui Y, Ren L, Wang H, Wang Z, Wang H Iran J Parasitol. 2020; 15(1):138-141.

PMID: 32489386 PMC: 7244840.

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