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Case Report

A Case of Human Hepatic Alveolar Echinococcosis Accompanied by Lung and Brain Metastases

Chuanchuan Liu1,2,3orcid, Haining Fan2,3orcid, Ri-li Ge1,2,3,*orcid
The Korean Journal of Parasitology 2021;59(3):291-296.
Published online: June 30, 2021

1Research Center for High Altitude Medicine, Qinghai University, Xining, Qinghai 810001, China

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*Corresponding author (geriligao@hotmail.com)
• Received: October 28, 2020   • Revised: February 5, 2021   • Accepted: February 9, 2021

© 2021, Korean Society for Parasitology and Tropical Medicine

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A Case of Human Hepatic Alveolar Echinococcosis Accompanied by Lung and Brain Metastases
Korean J Parasitol. 2021;59(3):291-296.   Published online June 21, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.3.291
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A Case of Human Hepatic Alveolar Echinococcosis Accompanied by Lung and Brain Metastases
Korean J Parasitol. 2021;59(3):291-296.   Published online June 21, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.3.291
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A Case of Human Hepatic Alveolar Echinococcosis Accompanied by Lung and Brain Metastases
Image Image Image
Fig. 1 Imaging and pathological findings of liver lesions. (A) Color Doppler ultrasonography of the liver. A hybrid mass 11.6×11.2 cm was observed in the right posterior lobe of the liver (red box). (B) Abdominal dynamic phase III computed tomography (red arrow). Round low-density shadows were seen in the right lobe of the liver, and no enhancement was observed after contrast-enhanced scan. High-density nidi were scattered in the lesion. The maximum cross-section of the lesion is about 9.6×8.9 cm. (C) The hematoxylin and eosin stain of paraffin sections displayed the laminated layer (black arrows). (D) Periodic acid-Schiff (PAS) stain presented a strongly PAS-positive basophilic laminated layer (red arrows).
Fig. 2 Imaging and pathological findings of pulmonary lesions. (A) Thorax computed tomography scan revealed an 8.4×6.9 cm encapsulated lesion in the right lung (red arrow). (B) Pathological finding of lung excision lesion. A protoscolex (red arrows) was observed in the lesion.
Fig. 3 Brain magnetic resonance imaging. (A) Axial view T1-weighted image showed the irregular round lesions in the brain with an extensive perifocal edema (red arrows). Sagittal view T2-weighted image (B), coronal T2-weighted image (C) and axial view T2-weighted image (D) with contrast enhancement showing the multiple lesions with a perifocal edema (red arrows).

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A Case of Human Hepatic Alveolar Echinococcosis Accompanied by Lung and Brain Metastases
PHD : Parasites, Hosts and Diseases

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