Primary Mediastinal Hydatid Cysts

Purpose: Hydatid disease is endemic in many parts of the world. Mediastinal hydatidosis is seen less than 0.1% of all hydatid diseases. We want to report our primary mediastinal hydatid cysts. Materials and Methods: In this retrospective study, from January 2010 to December 2012, 158 patients with i...

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Published inAnnals of Thoracic and Cardiovascular Surgery Vol. 20; no. 4; pp. 316 - 319
Main Author Tulay, Cumhur Murat
Format Journal Article
LanguageEnglish
Published Japan The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2014
Subjects
Adolescent
Adult
Albendazole - therapeutic use
Anthelmintics - therapeutic use
cardiac cyst
Echinococcosis - diagnosis
Echinococcosis - parasitology
Echinococcosis - surgery
Female
Humans
hydatid cyst
Male
mediastinal cyst
Mediastinal Cyst - diagnosis
Mediastinal Cyst - parasitology
Mediastinal Cyst - surgery
Middle Aged
Retrospective Studies
Thoracic Surgical Procedures
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
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Abstract Purpose: Hydatid disease is endemic in many parts of the world. Mediastinal hydatidosis is seen less than 0.1% of all hydatid diseases. We want to report our primary mediastinal hydatid cysts. Materials and Methods: In this retrospective study, from January 2010 to December 2012, 158 patients with intrathoracic hydatid cysts were operated in our thoracic surgery clinic. Nine of 158 (5.69%) patients had mediastinal hydatid cyst. Chest X-ray and computed tomography (CT) were used as diagnostic tools. Results: Hydatid cyst was confirmed surgically and pathologically in all the patients. Anterior mediastinal hydatid cysts and one cardiac involvement were determined in our study. While total cyst excision was performed in seven patients, partial pericystectomy could be done in two patients. In one patient, left ventricle invasion was seen and it was totally excised. Postoperative albendazole was applied to patients and there was no recurrence of disease till now. Conclusions: Mediastinal hydatid cysts are uncommon and should be kept in mind in differential diagnosis of mediastinal cystic lesions especially in endemic regions. Surgical resection must be done and then medical therapy is needed to prevent recurrence.
AbstractList Purpose: Hydatid disease is endemic in many parts of the world. Mediastinal hydatidosis is seen less than 0.1% of all hydatid diseases. We want to report our primary mediastinal hydatid cysts. Materials and Methods: In this retrospective study, from January 2010 to December 2012, 158 patients with intrathoracic hydatid cysts were operated in our thoracic surgery clinic. Nine of 158 (5.69%) patients had mediastinal hydatid cyst. Chest X-ray and computed tomography (CT) were used as diagnostic tools. Results: Hydatid cyst was confirmed surgically and pathologically in all the patients. Anterior mediastinal hydatid cysts and one cardiac involvement were determined in our study. While total cyst excision was performed in seven patients, partial pericystectomy could be done in two patients. In one patient, left ventricle invasion was seen and it was totally excised. Postoperative albendazole was applied to patients and there was no recurrence of disease till now. Conclusions: Mediastinal hydatid cysts are uncommon and should be kept in mind in differential diagnosis of mediastinal cystic lesions especially in endemic regions. Surgical resection must be done and then medical therapy is needed to prevent recurrence.
PURPOSEHydatid disease is endemic in many parts of the world. Mediastinal hydatidosis is seen less than 0.1% of all hydatid diseases. We want to report our primary mediastinal hydatid cysts.MATERIALS AND METHODSIn this retrospective study, from January 2010 to December 2012, 158 patients with intrathoracic hydatid cysts were operated in our thoracic surgery clinic. Nine of 158 (5.69%) patients had mediastinal hydatid cyst. Chest X-ray and computed tomography (CT) were used as diagnostic tools.RESULTSHydatid cyst was confirmed surgically and pathologically in all the patients. Anterior mediastinal hydatid cysts and one cardiac involvement were determined in our study. While total cyst excision was performed in seven patients, partial pericystectomy could be done in two patients. In one patient, left ventricle invasion was seen and it was totally excised. Postoperative albendazole was applied to patients and there was no recurrence of disease till now.CONCLUSIONSMediastinal hydatid cysts are uncommon and should be kept in mind in differential diagnosis of mediastinal cystic lesions especially in endemic regions. Surgical resection must be done and then medical therapy is needed to prevent recurrence.
Hydatid disease is endemic in many parts of the world. Mediastinal hydatidosis is seen less than 0.1% of all hydatid diseases. We want to report our primary mediastinal hydatid cysts. In this retrospective study, from January 2010 to December 2012, 158 patients with intrathoracic hydatid cysts were operated in our thoracic surgery clinic. Nine of 158 (5.69%) patients had mediastinal hydatid cyst. Chest X-ray and computed tomography (CT) were used as diagnostic tools. Hydatid cyst was confirmed surgically and pathologically in all the patients. Anterior mediastinal hydatid cysts and one cardiac involvement were determined in our study. While total cyst excision was performed in seven patients, partial pericystectomy could be done in two patients. In one patient, left ventricle invasion was seen and it was totally excised. Postoperative albendazole was applied to patients and there was no recurrence of disease till now. Mediastinal hydatid cysts are uncommon and should be kept in mind in differential diagnosis of mediastinal cystic lesions especially in endemic regions. Surgical resection must be done and then medical therapy is needed to prevent recurrence.
Author Tulay, Cumhur Murat
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10.1378/chest.124.1.125
10.5505/respircase.2012.10820
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Hydatid disease is endemic in many parts of the world. Mediastinal hydatidosis is seen less than 0.1% of all hydatid diseases. We want to report our primary...
PURPOSEHydatid disease is endemic in many parts of the world. Mediastinal hydatidosis is seen less than 0.1% of all hydatid diseases. We want to report our...
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SubjectTerms Adolescent
Adult
Albendazole - therapeutic use
Anthelmintics - therapeutic use
cardiac cyst
Echinococcosis - diagnosis
Echinococcosis - parasitology
Echinococcosis - surgery
Female
Humans
hydatid cyst
Male
mediastinal cyst
Mediastinal Cyst - diagnosis
Mediastinal Cyst - parasitology
Mediastinal Cyst - surgery
Middle Aged
Retrospective Studies
Thoracic Surgical Procedures
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
Title Primary Mediastinal Hydatid Cysts
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