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The coexistence of tumor and parasite: Hydatid cyst case accompanying Schwannoma case

Yıl 2025, Cilt: 10 Sayı: 2, 26 - 31, 18.08.2025
https://doi.org/10.58854/jicm.1691840

Öz

Backround: Hydatid cyst, is caused by infestation with egg of Echinococcus granulosus/E.multilocularis, a ~2–7 mm long tapeworm found in dogs (definitive host), sheeps, cattles and pigs (intermediate host). Schwannomas are generally known as benign neurogenic tumors that arise from many different organs in the body, but rarely from the gastrointestinal tract. In this study, a case of hydatid cyst accompanied by a surgey of sacro-lumbar schwannoma is presented.
Case presentation: A 36-year-old female patient, who applied to the neurosurgery clinic with a complaint of right-sided sciatica and lumbar pain was operated for shwannoma. During the same operation, a neoplasmic structure extending from the subcutaneous area of the lower right side of the sacrum region to the paravertebral muscle was removed. As a result of pathological examination, this structure was reported to be the cuticular and scolex structure of the hydatid cyst. After the operation, the patient was referred to the infectious diseases clinic. Anti-helmintic treatment was started and the patient was discharged in recovery.
Conclusions: When a rare area is involved, hydatid cyst disease must be diagnosed using a combination of serological tests and imaging methods. As in this case; In case of unusual presentations or atypical findings on imaging studies, the cyst should be evaluated for hydatid disease and studies should be performed to confirm the diagnosis.

Kaynakça

  • 1. Badwaik N, Gharde P, Shinde RK, Tayade H, Navandhar PS, Patil M. Hydatid Cyst or Echinococcosis: A Comprehensive Review of Transmission, Clinical Manifestations, Diagnosis, and Multidisciplinary Treatment. Cureus. 2024 Jul 2;16(7):e63713. doi: 10.7759/cureus.63713. PMID: 39099980; PMCID: PMC11294710.
  • 2. Calame P, Weck M, Busse-Cote A, Brumpt E, Richou C, Turco C, Doussot A, Bresson-Hadni S, Delabrousse E. Role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis. Insights Imaging. 2022 Apr 8;13(1):68. doi: 10.1186/s13244- 022-01190-y. PMID: 35394226; PMCID:PMC8994011.
  • 3. Tamarozzi F, Silva R, Fittipaldo VA, Buonfrate D, Gottstein B, Siles-Lucas M. Serology for the diagnosis of human hepatic cystic echinococcosis and its relation with cyst staging: A systematic review of the literature with meta-analysis. PLoS Negl Trop Dis. 2021 Apr 28;15(4):e0009370. doi: 10.1371/journal. pntd.0009370. PMID: 33909640; PMCID: PMC8081258.
  • 4. Hogea MO, Ciomaga BF, Muntean MM, Muntean AA, Popa MI, Popa GL. Cystic Echinococcosis in the Early 2020s: A Review. Trop Med Infect Dis. 2024 Jan 31;9(2):36. doi: 10.3390/ tropicalmed9020036. PMID: 38393125; PMCID: PMC10891927.
  • 5. Shetty V, Shetty K S, Ali IM. Hydatid Cyst in the Thigh: An Unusual Extra-hepatic Site. Cureus. 2024 Aug 27;16(8):e67929. doi: 10.7759/ cureus.67929. PMID: 39328613; PMCID: PMC11426307.
  • 6. Sadeghian H, Motiei-Langroudi R. Hydatid Cyst in the Lumbar Paravertebral Muscle: A Case Report. Cureus. 2019 Aug 9;11(8):e5353. doi: 10.7759/cureus.5353. PMID: 31608188; PMCID: PMC6783210.

Tümör ve parazit birlikteliği: Schwannoma olgusuna eşlik eden Kist hidatik olgusu

Yıl 2025, Cilt: 10 Sayı: 2, 26 - 31, 18.08.2025
https://doi.org/10.58854/jicm.1691840

Öz

Giriş: Hidatik kist, köpeklerde (kesin konakçı), sığırlarda ve domuzlarda (kesin konak) bulunan ~2-7 mm uzunluğunda bir tenya olan Echinococcus granulosis/E. multilocularis larvalarının istilası sonucu oluşur. Schwannomlar ise genellikle vücuttaki birçok farklı organdan köken alan, ancak nadiren gastrointestinal sistemden kaynaklanan iyi huylu nörojenik tümörler olarak bilinir. Bu çalışmada, sakro-lomber schwannoma tanısıyla opere edilen ve bu operasyon sırasında tespit edilen kist hidatik olgusu sunulmaktadır.
Vaka sunumu: Sağ taraflı siyatik ve bel ağrısı şikayetiyle beyin cerrahi kliniğine başvuran 36 yaşında kadın hasta, schwannoma nedeniyle ameliyat edildi. Aynı operasyon sırasında, sakrumun sağ alt kısmındaki cilt altı bölgesinden paravertebral kasa kadar uzanan neoplazmik yapı çıkarıldı. Patolojik inceleme ve değerlendirme sonucunda, bu yapının hidatik kistin kutiküler yapısı ve skoleks yapısı olduğu bildirildi. Hasta, opere edildikten sonra enfeksiyon hastalıkları kliniğine yönlendirildi. Hastaya anti-helmintik tedavi başlandı ve hasta şifa ile taburcu edildi.
Sonuç: Nadir bir bölge tutulduğunda, kist hidatik hastalığı serolojik testler ve görüntüleme yöntemlerinin bir kombinasyonu kullanılarak teşhis edilmelidir. Bu olguda olduğu gibi; alışılmadık prezentasyonlar veya görüntüleme çalışmalarında atipik bulgular olması durumunda, kist hidatik açısından değerlendirmeli ve tanıyı doğrulamaya yönelik çalışmalar yapılmalıdır.

Kaynakça

  • 1. Badwaik N, Gharde P, Shinde RK, Tayade H, Navandhar PS, Patil M. Hydatid Cyst or Echinococcosis: A Comprehensive Review of Transmission, Clinical Manifestations, Diagnosis, and Multidisciplinary Treatment. Cureus. 2024 Jul 2;16(7):e63713. doi: 10.7759/cureus.63713. PMID: 39099980; PMCID: PMC11294710.
  • 2. Calame P, Weck M, Busse-Cote A, Brumpt E, Richou C, Turco C, Doussot A, Bresson-Hadni S, Delabrousse E. Role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis. Insights Imaging. 2022 Apr 8;13(1):68. doi: 10.1186/s13244- 022-01190-y. PMID: 35394226; PMCID:PMC8994011.
  • 3. Tamarozzi F, Silva R, Fittipaldo VA, Buonfrate D, Gottstein B, Siles-Lucas M. Serology for the diagnosis of human hepatic cystic echinococcosis and its relation with cyst staging: A systematic review of the literature with meta-analysis. PLoS Negl Trop Dis. 2021 Apr 28;15(4):e0009370. doi: 10.1371/journal. pntd.0009370. PMID: 33909640; PMCID: PMC8081258.
  • 4. Hogea MO, Ciomaga BF, Muntean MM, Muntean AA, Popa MI, Popa GL. Cystic Echinococcosis in the Early 2020s: A Review. Trop Med Infect Dis. 2024 Jan 31;9(2):36. doi: 10.3390/ tropicalmed9020036. PMID: 38393125; PMCID: PMC10891927.
  • 5. Shetty V, Shetty K S, Ali IM. Hydatid Cyst in the Thigh: An Unusual Extra-hepatic Site. Cureus. 2024 Aug 27;16(8):e67929. doi: 10.7759/ cureus.67929. PMID: 39328613; PMCID: PMC11426307.
  • 6. Sadeghian H, Motiei-Langroudi R. Hydatid Cyst in the Lumbar Paravertebral Muscle: A Case Report. Cureus. 2019 Aug 9;11(8):e5353. doi: 10.7759/cureus.5353. PMID: 31608188; PMCID: PMC6783210.
Toplam 6 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Tıbbi Enfeksiyon Ajanları
Bölüm Vaka Raporları
Yazarlar

Erdoğan Yayla 0000-0002-7322-7842

Fatih Yoldaş 0000-0003-4782-1319

Erken Görünüm Tarihi 11 Eylül 2025
Yayımlanma Tarihi 18 Ağustos 2025
Gönderilme Tarihi 5 Mayıs 2025
Kabul Tarihi 17 Ağustos 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 10 Sayı: 2

Kaynak Göster

APA Yayla, E., & Yoldaş, F. (2025). The coexistence of tumor and parasite: Hydatid cyst case accompanying Schwannoma case. Journal of Immunology and Clinical Microbiology, 10(2), 26-31. https://doi.org/10.58854/jicm.1691840
AMA Yayla E, Yoldaş F. The coexistence of tumor and parasite: Hydatid cyst case accompanying Schwannoma case. J Immunol Clin Microbiol. Ağustos 2025;10(2):26-31. doi:10.58854/jicm.1691840
Chicago Yayla, Erdoğan, ve Fatih Yoldaş. “The coexistence of tumor and parasite: Hydatid cyst case accompanying Schwannoma case”. Journal of Immunology and Clinical Microbiology 10, sy. 2 (Ağustos 2025): 26-31. https://doi.org/10.58854/jicm.1691840.
EndNote Yayla E, Yoldaş F (01 Ağustos 2025) The coexistence of tumor and parasite: Hydatid cyst case accompanying Schwannoma case. Journal of Immunology and Clinical Microbiology 10 2 26–31.
IEEE E. Yayla ve F. Yoldaş, “The coexistence of tumor and parasite: Hydatid cyst case accompanying Schwannoma case”, J Immunol Clin Microbiol, c. 10, sy. 2, ss. 26–31, 2025, doi: 10.58854/jicm.1691840.
ISNAD Yayla, Erdoğan - Yoldaş, Fatih. “The coexistence of tumor and parasite: Hydatid cyst case accompanying Schwannoma case”. Journal of Immunology and Clinical Microbiology 10/2 (Ağustos2025), 26-31. https://doi.org/10.58854/jicm.1691840.
JAMA Yayla E, Yoldaş F. The coexistence of tumor and parasite: Hydatid cyst case accompanying Schwannoma case. J Immunol Clin Microbiol. 2025;10:26–31.
MLA Yayla, Erdoğan ve Fatih Yoldaş. “The coexistence of tumor and parasite: Hydatid cyst case accompanying Schwannoma case”. Journal of Immunology and Clinical Microbiology, c. 10, sy. 2, 2025, ss. 26-31, doi:10.58854/jicm.1691840.
Vancouver Yayla E, Yoldaş F. The coexistence of tumor and parasite: Hydatid cyst case accompanying Schwannoma case. J Immunol Clin Microbiol. 2025;10(2):26-31.

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