Abstract
The purpose of this study was to assess the usefulness of a new staging scheme for alveolar echinoccocosis un of the liver. A total of 28 patients with hepatic alveolar echinococcosis underwent CT examinations and were staged according to the proposed staging scheme (stage 1: lesion measuring less than 3 cm in diameter; stage 2: lesion greater than 3 cm, confined to less than three hepatic segments; stage 3 a: lesion with invasion of more than three hepatic segments; stage 3 b: invasion of liver hilum or suprahepatic vena cava; stage 4: invasion of surrounding organs and/or distant metastasis). Of the patients 16 underwent laparotomy, and results of the radiologic staging were correlated with surgical data. The CT findings correlated well with surgical findings. Patients were followed-up for a period of 6 months to 7 years. We concluded that the proposed staging scheme seemed to be useful for the therapeutic planning of patients with alveolar echinococcosis of the liver.
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Miguet JP, Bresson-Hadni S (1989) Alveolar echinococcosis of the liver. J Hepatol 8: 373–379
Didier D, Weiler S, Rohmer P et al. (1985) Hepatic alveolar echinococcosis: correlative US and CT study. Radiology 154: 179–186
Kasai Y, Koshino I, Kawanishi N, Sakamoto H, Sasaki E, Kumagai M (1980) Alveolar echinococcosis of the liver. Ann Surg 191: 145–152
Claudron M, Gerard A, Regent D et al. (1990) Evolution of alveolar echinococcosis of the liver: new approach by CT imaging. Diagn Intervent Radiol 2: 61–66
Maier W (1983) Computed tomography diagnosis of Echinococcus alveolaris. Hepatogastroenterology 30: 83–85
Choji K, Fujita N, Chen M et al. (1992) Alveolar hydatid disease of the liver: computed tomography and transabdominal ultrasound with histopathologic correlation. Clin Radiol 46: 97–103
Rozanes I, Acunaçs B, çCelik L et al. (1992) CT in lobar atrophy of the liver caused by alveolar echinococcosis. J Comput Assist Tomogr 16: 216–218
Davis A, Pawlowski ZS, Dixon H (1986) Multicenter clinical trials of benzimidazole-carbamates in human echinococcosis. Bull WHO 64: 383–388
Gerard A, Canton P, Dureux JB (1985) Treatment of alveolar echinococcosis with albendazole (20 cases). In: Recent advances in chemotherapy: proceedings of the 14th International Congress of Chemotherapy, Kyoto. University of Tokyo Press, Tokyo, pp 2538–2539
Moisimann F (1980) Is alveolar hydatid disease of the liver incurable? Ann Surg 192: 118–123
Lanier AP, Trujillo DE, Schantz PM et al. (1987) Comparison of serologic tests for the diagnosis and follow up of alveor hydatid disease. Am J Trop Med Hyg 37: 609–615
Partensky C, Landraud R, Valette P-J, Bret P, Paliard P (1990) Radical and nonradical hepatic resection for alveolar echinococcosis: report of 18 cases. World J Surg 14: 654–659
Gillet M, Miguet JP, Mantion G et al. (1988) Orthotopic liver transplantation in alveolar echinococcosis of the liver: analysis of a series of six patients. Transplant Proc 20: 573–576
Bresson-Hadni S, Miguet JP, Lenys D et al. (1992) Recurrence of alveolar echinococcosis in the liver graft after liver transplantation. Hepatology 16: 279–280
Claudon M, Bessieres M, Regent D et al. (1990) Alveolar echinococcosis of the liver: MR findings. J Comput Assist Tomogr 14: 608–614
Maier W (1983) The role of sonography in the diagnosis of Echinococcus Alveolaris. Eur J Radiol 3: 63–67
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Rozanes, I., Acunaş, B., Emre, A. et al. CT staging of alveolar echinococcosis of the liver. Eur. Radiol. 5, 259–263 (1995). https://doi.org/10.1007/BF00185309
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DOI: https://doi.org/10.1007/BF00185309