Primary hydatidosis of distal femur masquerading malignancy −A rare case

Dathik, Sandeep; Chopra, Rajesh; Talwar, Jatin; Pheroz, Mozammil; Prasad, Rajni

doi:10.1016/j.jcot.2017.12.003

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…Calcifications and cysts can be found on imaging after adjacent tissues are invaded ( Rangheard et al, 2001 ). In long-bone CE, the primary cyst begins in the epiphysis ( Dathik et al, 2019 ). The lesion, which can be either monocystic or polycystic, is mostly located in the metaphysis and can expand into the diaphysis and form a fan-shaped cortex; however, dilatation, sclerosis, and periosteal reaction seldom occur.…”

Section: Imaging Examination Combined With Serological Results To Dia...mentioning

confidence: 99%

“…Improved after 6 months Lumbar vertebra and sacral vertebra (Majmundar et al, 2019;Sharma et al, 2020;Trifa and Maamri, 2021) Debridement Femoral bone (Gautam et al, 2018;Salman et al, 2018;Dathik et al, 2019;Fröschen et al, 2019;Masmoudi et al, 2019;Ramteke et al, 2019;Oueslati et al, 2020;Ahmady-Nezhad et al, 2022) Resection of the lesion; fixation; resection of the lesion; mobility aid (Daniel et al, 2017). As can be seen, the outcome of pelvic-joint infection is very serious.…”

Section: Surgerymentioning

confidence: 99%

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Progress of research on the diagnosis and treatment of bone cystic echinococcosis

Meng,

Ren,

Xiao

et al. 2023

Front. Microbiol.

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Bone cystic echinococcosis (CE) is one of the most complex and dangerous of all echinococcoses. The lack of typical imaging features and clinical manifestations makes diagnosis and treatment of this disease difficult. X-ray and computed tomography (CT) images of bone CE are similar to those of bone cysts, giant-cell bone tumors, and bone metastases, but magnetic resonance imaging (MRI) shows good diagnostic value due to excellent soft-tissue imaging features. Serological tests cannot be used as a definitive diagnostic method for bone CE due to cross-reactivity, which can lead to false-positive or false-negative results. The development of novel antigens can open new frontiers in the diagnosis of the disease. Currently, views conflict on how to diagnose and treat bone CE. Both surgical and pharmacological treatments can be used, but determining which is appropriate is difficult due to the different sites and clinical manifestations of bone CE. Radical resection is not indicated for large-bone injuries, and Pharmacotherapy becomes important. This article reviews the progress of research into the pathogenesis and clinical manifestations of, and diagnostic strategies and treatment options for, bone CE. We aimed to provide a reference for clinical diagnosis and -treatment options.

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Section: Imaging Examination Combined With Serological Results To Dia...mentioning

confidence: 99%

Section: Surgerymentioning

confidence: 99%

Progress of research on the diagnosis and treatment of bone cystic echinococcosis

Meng,

Ren,

Xiao

et al. 2023

Front. Microbiol.

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“…Total femoral resection is rarely indicated. Partial femoral resection with appropriate proximal or distal femoral replacement megaprostheses is a reasonable approach for initial procedure failure or more extensive osseous disease not involving the entire femur 5,22-25 (Table II). In previous reports, partial femoral resection/reconstruction with megaprostheses led to excellent disease control; disease recurrence in retained bone remains a concern 7 .…”

Section: Discussionmentioning

confidence: 99%

Total Femoral Replacement for Complicated Echinococcus Infection

Lal

Roza

Damron

2021

JBJS Case Connector

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Case: Osseous hydatidosis caused by Echinococcus is rare, especially in long bones. To the best of our knowledge, this is the third femoral hydatidosis case with successful osseous eradication through total femoral resection and total femoral megaprosthesis. Unlike the previous 2 cases, we uniquely illustrate recurrent soft-tissue hydatidosis episodes requiring additional hydatid resections for local control with no evidence of disease at final 16-year follow-up, the longest follow-up period of the 3 reported cases. Conclusion: Despite radical bone resection for osseous hydatidosis eradication, additional complex surgical interventions may be needed to locally control soft-tissue disease.

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“…The bone defects are covered by either bone graft or bone cement due to its added effect of thermal necrosis. [ 7 8 ]…”

Section: Introductionmentioning

confidence: 99%

Hydatid Disease of Tibia Reconstructed with Allograft

Niraula

Regmi

Bansal

et al. 2023

Journal of West African College of Surgeons

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Background: Hydatid disease of bone shows a well-defined, multiloculated lytic lesion with the appearance of a bunch of grapes. The presenting symptoms are pain and swelling with or without pathological fracture. The treatment options include surgery followed by a long duration of albendazole. Removal of the involved bone is required to decrease the chances of recurrences. Case Report: In our study, we have included a case of 28-year-old woman presented with complaints of pain and difficulty in weight bearing over her right lower limb for 2.5 months. Radiograph suggested an eccentric lytic lesion in midshaft of tibia and biopsy revealed granulosus cyst wall, nucleate germinal layer, the brood capsule, and protoscolices with visible hooklets. Patient was subjected to surgery with the excision of cyst along with extended curettage of bone creating a bone defect around the lesion and with anterolateral platting with coverage of bone defect by allogenic bone grafting. Patient was kept on above knee slab with non-weight-bearing mobilization for 6 weeks. Postoperative chemotherapy with Albendazole was given for 3 months. Patient was followed up every 6 weeks for 3 months and every month thereafter on outpatient basis. Return to work and patient satisfaction were excellent. Conclusion: Definitive Surgical management with Preoperative and postoperative chemotherapy seems to be effective to avoid recurrence. The bone defect caused by the disease or surgery can be managed with a bone graft either of autograft or allograft.

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Primary hydatidosis of distal femur masquerading malignancy −A rare case

Cited by 5 publications

References 19 publications

Progress of research on the diagnosis and treatment of bone cystic echinococcosis

Progress of research on the diagnosis and treatment of bone cystic echinococcosis

Total Femoral Replacement for Complicated Echinococcus Infection

Hydatid Disease of Tibia Reconstructed with Allograft

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