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Year : 2016  |  Volume : 11  |  Issue : 1  |  Page : 23-25

Hydatid cyst of the pancreas: A case report in the West of Iran

1 Molecular Pathology Research Center, Emam Reza University Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
2 Cancer Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran

Correspondence Address:
Masoud Sadeghi
Cancer Research Center, Kermanshah University of Medical Sciences, Kermanshah
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DOI: 10.4103/1858-5000.178509

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Echinococcus granulosus is caused hydatid cyst disease that is a common parasitic disease in endemic region. In this study, we report our experience with a case of hydatid cyst involving the pancreas in the West of Iran. A 65-year-old woman admitted to our hospital with abdominal discomfort presenting for 4 months. Computed tomography scan revealed mass measuring 5 cm × 4 cm with increased wall thickness in the head of the pancreas. A cystic adenocarcinoma was included in the differential diagnosis. Tumor markers (carbohydrate antigen 19-9, carcinoembryonic antigen, and alpha-fetoprotein) had normal range. On abdominal exploration, whipple surgery was done. Histopathologic findings revealed a well-defined creamy-whitish mass measuring 6 cm × 4 cm × 3 cm attached to small intestine. The microscopic examination revealed a typical hydatid cyst which contained some scolices. After this case, we believe hydatid disease must be considered in the differential diagnosis of pancreatic cysts, especially in countries where echinococcosis is endemic. In this condition, use of specific antigenic tests can be helpful for preoperative diagnosis and appropriate management of the disease.

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