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Parasitic cysts of the liver - practical approach to diagnosis and differentiation
J Niścigorska1, T Sluzar, M Marczewska
1Department of Infectious Diseases, Pomeranian Medical University in Szczecin, Poland.
Background:
The aim of the study was to determine the incidence of parasitic liver cysts.
Material And Methods:
In 1996-2000 at the Department of Infectious Diseases parasitic liver cysts were diagnosed in 31 patients. The diagnosis was based on imaging examinations (ultrasound, computerised tomography), serological reactions (ELISA, IHA) and histopathological investigation of the specimens obtained through fine-needle aspiration biopsy.
Results And Conclusion:
The latter followed the pre-treatment with antiparasitic drug and no significant complications were observed. On the basis of the criteria developed by our team (evident, highly probable and probable diagnosis), hydatid disease of the liver was diagnosed in 8 patients (25.8%). The remaining subjects, excluding one patient who underwent surgical treatment, received repeated treatment with imidazole derivatives (Zentel or Vermox).