• Internal medicine · May 2024

    Case Reports

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

    • Kazuki Hirano, Yuta Maruki, Daiki Yamashige, Osamu Kobayashi, Mika Shiotsuka, Chigusa Morizane, Tsunao Imamura, Nobuyoshi Hiraoka, and Takuji Okusaka.
    • Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Japan, Japan.
    • Intern. Med. 2024 May 1; 63 (9): 124712521247-1252.

    AbstractAlveolar 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.

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