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Classification, follow-up and recurrence of hepatic cystic echinococcosis using ultrasound images

Wang, Y, Zhang, X, Bartholomot, B, Liu, B, Luo, J, Li, T, Wen, X, Zheng, H, Zhou, H, Wen, H, Davaadorj, N, Gambolt, L, Mukhar, T, Al-Qaoud, K, Abdel-Hafez, S, Giraudoux, P, Vuitton, DA, Fraser, A, Rogan, MT and Craig, PS 2003, 'Classification, follow-up and recurrence of hepatic cystic echinococcosis using ultrasound images' , Transactions of the Royal Society of Tropical Medicine and Hygiene, 97 (2) , pp. 203-211.

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Abstract

Ultrasound image and morphological structure of hepatic cystic echinococcosis (CE) were analysed in 277 human cases (385 hepatic hydatid cysts). These included 65 CE cases from community surveys carried out between 1995 and 2000 in 3 countries (China, Mongolia and Jordan) and 212 cases from a clinical hospital survey from Xinjiang, China. A new simplified WHO ultrasound classification for human CE was assessed, and considered useful. It is proposed that type, size and number in particular need to be included in the ultrasound classification of hepatic CE. For comparative purposes 6 categories of type were classified in the study as Type 0 to Type 5 (T0-T5): T0, univesicular without pathognomonic signs; T1, univesicular with pathognomonic signs; T2, cysts with sagging or floating laminated membrane; T3, cysts containing daughter cysts; T4, solid mass or mixed cysts; and T5, cysts with partial or full calcifications. This differs from the WHO classification wherein Type T3 cysts (daughter cysts present) are considered a pathological stage to occur in general prior to the sagging or floating membrane (T2) stage. Recurrent hydatid cysts in the liver were also studied based on morphological structures observed directly from surgical intervention. Case follow-up over 1-5 years since endocystectomy in the community surveys indicated 10% (2/10) recurrence of cysts in the residual surgical cavity. Recurrent CE included 2 (2/4) cases after percutaneous treatment.

Item Type: Article
Uncontrolled Keywords: Cystic echinococcosis, echinococcus granulosus, hydatid cysts, diagnosis, ultrasound, China, Jordan, Mongolia
Themes: Subjects / Themes > Q Science > Q Science (General)
Subjects / Themes > R Medicine > R Medicine (General)
Health and Wellbeing
Subjects outside of the University Themes
Schools: Colleges and Schools > College of Science & Technology
Colleges and Schools > College of Science & Technology > School of Environment and Life Sciences
Colleges and Schools > College of Science & Technology > School of Environment and Life Sciences > Biomedical Research Centre
Journal or Publication Title: Transactions of the Royal Society of Tropical Medicine and Hygiene
Publisher: Elsevier
Refereed: Yes
ISSN: 00359203
Depositing User: H Kenna
Date Deposited: 08 Aug 2007 12:40
Last Modified: 20 Aug 2013 16:45
URI: http://usir.salford.ac.uk/id/eprint/177

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