多房性肝包虫症小児例の検討

概要

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The alveolar hydatid disease of the liver is uncommon in childhood; 106 patients with this disease have been treated in our department during the past 50 years. Six were less than 15 years old. It was 5.7% of all 106 cases. Four were female and two were male. It will take more than 10 years to grow clinical symptoms in adults after infestation. The alveolar hydatid disease in children seems to gorw more rapidly than adult. Among the first three patients, two had hepatomegaly, and the third patients had liver dysfunction. The latest three patients were detected by serological test and ultrasonographic examination in the mass screening when the lesions were too small to produce symptoms. Hepatectomy were performed for five patients; one lateral segmentctomy, three lobectomy and one partial hepatectomy. They are all alive and doing well now respectively. One patient had an unresectable lesions and died after three years. For the good prognosis, an early diagnosis and complete removal of the lesion are indispensable. The alveolar hydatid disease occurs in a limited area. So the mass screening has been effectively performed.
日本小児外科学会の論文
1989-02-20