Abstract
Hydatid cyst (HC) is a parasitic infection caused by larva form of Echinococcus. It occurs frequently in liver and lungs. Primary HC of neck is extremely rare occurrence and here we report it with unusual presentation. A 35-year-old male presented with slowly growing painless swelling in right side of neck for 6–7 years. The swelling measured 11 × 6 cm and cough impulse elicited on local examination. MRI scan revealed a multiloculated cystic lesion in neck. Fine needle aspiration cytology yielded fluid aspirate and smear showed fragment of laminated membrane, suggestive of HC. The intact cyst was removed surgically and histopathologic examination confirmed the diagnosis of HC. Both clinicians and radiologists should consider HC in differential diagnosis of head and neck swelling for proper management.
References
Chakrabarti I, Goswami BK. Primary hydatid cyst of the neck diagnosed by aspiration cytology. Trop Parasitol. 2012;2:127–8.
Nandy Manab, Chakrabarti Abhiram, Mallik Sudesna. Hydatid disease presenting as multiple cystic swelling in the right supraclavicular region. Asian Pac J Trop Dis. 2012;2:490–1.
Ahmad S, Jalil S, Saleem Y, Suleman BA, Chughtai N. Hydatid cysts at unusual sites: reports of two cases in the neck and breast. J Pak Med Assoc. 2010;60:232–4.
Iynen I, Sogut O, Guldur ME, Kose R, Kaya H, Bozkus F. Primary hydatid cyst: an unusual cause of a mass in the supraclavicular region of the neck. J Clin Med Res. 2011;3:52–4.
Darabi M, Varedi P, Mohebi AR, Mahmoodi S, Varedi P, Nabavizadeh SA, Erfan A, Ostadali Makhmalbaf A, Saedi D, Saadat Mostafavi SR, Mousavi SM. Hydatid cyst of the parotid gland. Oral Maxillofac Surg. 2009;13:33–5.
Aletras H, Symbas N. Hydatid disease of the lung. In: Shields TW, LoCicero J, Ponn RB, editors. General thoracic surgery. 5th ed. Philadelphia: Lippincott Williams and Wilkins; 2000. p. 1113–22.
Sultana N, Hashim TK, Jan SY, Khan Z, Malik T, Shah W. Primary cervical hydatid cyst: a rare occurrence. Diagn Pathol. 2012;7:157.
Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur A. Hydatid disease from head to toe. Radio Graphics. 2003;23:475–94.
Tekin M, Osma U, Yaldiz M, Topcu I. Preauricular hydatid cyst: an unusual location for echinococcosis. Eur Arch Otorhinolaryngol. 2004;261:87–9.
Çelik C, Şaşmaz MF, Uçan H. Spinal hydatid cyst: review. Turkiye Klinikleri J Med Sci. 2010;30:1073–7.
Dziri C, Haouet K, Fingerhut A, Zaouche A. Management of cystic echinococcosis complications and dissemination: where is the evidence? World J Surg. 2009;33:1266–73.
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Goyal, P., Ghosh, S., Sehgal, S. et al. Primary Multilocular Hydatid Cyst of Neck with Unique Presentation: A Rare Case Report and Literature Review. Head and Neck Pathol 8, 334–338 (2014). https://doi.org/10.1007/s12105-013-0502-8
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DOI: https://doi.org/10.1007/s12105-013-0502-8