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Review
. 2019 Jul;11(7):3146-3155.
doi: 10.21037/jtd.2019.07.31.

Pulmonary echinococcosis in China

Teng Mao  1 , Dawa Chungda  2 , Lhakpa Phuntsok  2 , Tse Benjie  2 , Tsering Dondrup  2 , Tseten Dolma  2 , Weijiang Li  2
Affiliations
Review

Pulmonary echinococcosis in China

Teng Mao et al. J Thorac Dis. 2019 Jul.

Abstract

Pulmonary echinococcosis is a zoonotic parasitic disease caused by the larval stage of cestodes belonging to the genus echinococcus, which is the top killer of residents in pastoral areas and requires more attention. Prevention is the top priority; screening is another important strategy. Surgery is still the preferred treatment for pulmonary echinococcosis. Fortunately, the Chinese government has equipped each county hospital with CT machines. In the foreseeable future, the screening for pulmonary echinococcosis will begin in many areas including Tibet, which will allow us to cure early pulmonary echinococcosis in a more minimally-invasive way.

Keywords: Pulmonary; china; clinical features; diagnosis; echinococcosis; epidemiology; etiology; pathology; treatment.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Life cycle of E. granulosus.
Figure 2
Figure 2
The endocyst.
Figure 3
Figure 3
Demonstration of the pulmonary hydatid cysts in CT. (A) Cross section image; (B) coronal section image. CT, computed tomography.
Figure 4
Figure 4
Demonstration in CT scan when the pericyst communicates with the bronchioles and the endocyst does not rupture. (A) Air crescent sign; (B) CT reveal a small amount of air shadow at the inner side of the pericyst. CT, computed tomography.
Figure 5
Figure 5
Cumbo sign.
Figure 6
Figure 6
Water-lily sign.
Figure 7
Figure 7
Demonstration in CT scan when the cystic fluid in the pericyst is completely coughed out through the airway. (A) A gas-filled cavity can be seen in the lung, inside which the collapsed endocyst can be found; (B) a gas-filled cavity can be seen in the lung, inside which the collapsed endocyst can be found. CT, computed tomography.
Figure 8
Figure 8
Type B2 thymoma was misdiagnosed as pulmonary echinococcosis.
See this image and copyright information in PMC

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