COSTAL ECHINOCOCCOSIS

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Abstract
Six new cases of costal echinococcosis operated upon in a time span of 8 years at Tehran University Hospitals are reported. Early cases present as an intracostal solitary expansile osteolytic lesion. The more advanced forms manifest as destructive costovertebral lesions with adjacent soft tissue masses. Sometimes extra-osseous lesions such as pleural hydatid cysts cause pressure atrophy of the ribs. The importance of the role of radiologists in the management of the patient is emphasized. It is probable that the incidence of costal echinococcosis in the endemic areas is much higher than suggested by the 32 previous cases that have reached the medical literature of the Western Hemisphere.

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