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S. Akdeniz



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    P1.24 - Poster Session 1 - Clinical Care (ID 146)

    • Event: WCLC 2013
    • Type: Poster Session
    • Track: Supportive Care
    • Presentations: 1
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      P1.24-009 - Primary Giant and Destructive Hydatide Disease Mimicking Malign Tumor of the Chest Wall: Case Report and Literature Rewieve (ID 875)

      09:30 - 09:30  |  Author(s): S. Akdeniz

      • Abstract

      Background
      Hydatid disease, a naturally zoonotic disease, is frequently encountered some region; such as Mediterranean Countries. It is generally occupied on the liver and lung; nevertheless, it can pose on all organs. Primary chest wall origin of the Hydatid disease is very rarely observed.

      Methods
      In this report; a sixty five years old female patient who has primary chest wall located, having ribs and soft chest wall tissues destruction giant hydatide disease has been presented due to its so many rare observations, atypical localization and mimicking primary chest wall tumor. She has chest and neck pain continuing for about 5 months. In the examination made, a remarkable finding was not encountered in the patient’s medical history and physical examination. In the computerized thorax tomography, it was reported that there were combined but multiple number of tumoral masses in the giant soft tissue density having dimensions of totally approximately 10*15*10 cm (Figure 1). It was reported that the lesions observed in the whole body PET/CT appearance tomography drawn were not active to the highest degree and their SUX max levels were at the level of 3-5 values (Figure 2).

      Results
      In the exploration, it was observed that the lesions were cystic structures having very high density. Additionally, the thorax wall muscle and soft tissues and the front lateral areas of 2,3 and 4 ribs from above were totally necrotic and destructed. All destructive and necrotic tissues were removed and resected in the operation.

      Conclusion
      In the postoperative period, no complications developed and the patient was discharged with full recovery after 10 days. Hystopathological examination was reported as necrotic hydatid disease. The patient is still under control in the postoperative 3rd year and she has not symptoms.