Microwave ablation combining surgery for the treatment of multiorgan cystic echinococcosis: A case report

被引:3
作者
Wa, Zeng-Cheng [1 ]
Du, Ting [1 ]
Hu, Hang-Tong [2 ]
Lu, Ming-De [3 ,4 ]
机构
[1] Qinghai Red Cross Hosp, Dept Med Ultrason, Xining, Qinghai, Peoples R China
[2] Sun Yat Sen Univ, Dept Med Ultrason, Inst Diagnost & Intervent Ultrasound, Affiliated Hosp 1, Guangzhou, Guangdong, Peoples R China
[3] Sun Yat Sen Univ, Dept Hepatobiliary Surg, Affiliated Hosp 1, Guangzhou, Guangdong, Peoples R China
[4] Sun Yat Sen Univ, Dept Med Ultrason, Affiliated Hosp 1, Guangzhou, Guangdong, Peoples R China
关键词
Cystic echinococcosis; Multiorgan; Microwave ablation; Minimal invasive; MULTIPLE; MANAGEMENT; DIAGNOSIS;
D O I
10.1016/j.parint.2019.04.018
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
Cystic echinococcosis (CE) is a global public health problem associated with a high overall disease burden. Multiple organ systems are involved in approximately 20% of cases, and treatment is challenging and rarely reported. In this study, we described microwave ablation (MWA) combining surgery for the treatment of a multiorgan CE patient. The patient underwent percutaneous MWA for a hepatic CE3b lesion and exploratory resection of the pelvic cavity lesions. The hepatic lesion was effectively treated by MWA, and invasiveness was reduced by avoiding hepatectomy. The patient had a favorable prognosis at a 20-month's follow-up. More studies are needed to evaluate its usefulness in CE treatment.
引用
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页数:3
相关论文
共 21 条
[1]   Comparison of Long-Term Results of Percutaneous Treatment Techniques for Hepatic Cystic Echinococcosis Types 2 and 3b [J].
Akhan, Okan ;
Salik, Aysun E. ;
Ciftci, Turkmen ;
Akinci, Devrim ;
Islim, Filiz ;
Akpinar, Burcu .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2017, 208 (04) :862-868
[2]   Radiofrequency thermal ablation of echinococcal liver cysts [J].
Brunetti, E ;
Filice, C .
LANCET, 2001, 358 (9291) :1464-1464
[3]   Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans [J].
Brunetti, Enrico ;
Kern, Peter ;
Vuitton, Dominique Angele .
ACTA TROPICA, 2010, 114 (01) :1-16
[4]   Global Distribution of Alveolar and Cystic Echinococcosis [J].
Deplazes, P. ;
Rinaldi, L. ;
Rojas, C. A. Alvarez ;
Torgerson, P. R. ;
Harandi, M. F. ;
Romig, T. ;
Antolova, D. ;
Schurer, J. M. ;
Lahmar, S. ;
Cringoli, G. ;
Magambo, J. ;
Thompson, R. C. A. ;
Jenkins, E. J. .
ECHINOCOCCUS AND ECHINOCOCCOSIS, PT A, 2017, 95 :315-493
[5]   Minimally Invasive Treatment of Liver Hydatidosis [J].
Duta, Ciprian ;
Pantea, Stelian ;
Lazar, Caius ;
Salim, Abdullah ;
Barjica, Daniela .
JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, 2016, 20 (01)
[6]  
Ezer A, 2008, INT SURG, V93, P103
[7]   Multiple unusual locations of hydatid cysts including bladder, psoas muscle and liver [J].
Feki, Wassim ;
Ghozzi, Samir ;
Khiari, Rarnzi ;
Ghorbel, Mani ;
Elarbi, Houssem ;
Khouni, Hassen ;
Ben Rais, Nawfel .
PARASITOLOGY INTERNATIONAL, 2008, 57 (01) :83-86
[8]   ALGORITHMS IN DIAGNOSIS AND MANAGEMENT OF EXOTIC DISEASES .10. ECHINOCOCCOSIS [J].
GROVE, DI ;
WARREN, KS ;
MAHMOUD, AAF .
JOURNAL OF INFECTIOUS DISEASES, 1976, 133 (03) :354-358
[9]   Thermal Field Distributions of Ablative Experiments Using Cyst-mimicking Phantoms: Comparison of Microwave and Radiofrequency Ablation [J].
Huang, Xiao-wen ;
Nie, Fang ;
Wa, Zeng-cheng ;
Hu, Hang-tong ;
Huang, Qing-xiu ;
Guo, Huan-ling ;
Zheng, Qiao ;
Xie, Xiao-yan ;
Wang, Wei ;
Lu, Ming-De .
ACADEMIC RADIOLOGY, 2018, 25 (05) :636-642
[10]   Microwave ablation: state-of-the-art review [J].
Irving Hernandez, Jose ;
Jesus Cepeda, Mario Francisco ;
Valdes, Francisco ;
David Guerrero, Geshel .
ONCOTARGETS AND THERAPY, 2015, 8 :1627-1632