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    ISOLATED PRIMARY HYDATID CYST OF THE BREAST: CASE REPORT
    (Aves, 2012) Onder, Akin; Kapan, Murat; Girgin, Sadullah; Akgul, Omer Lutfi; Onder, Hakan; Akyuz, Yilmaz
    The causative agent of hydatid cyst disease is Echinococcus granulosus. Hydatid cysts are usually located in the liver and the lungs; they are very rarely seen in the breasts. Herein, a 62-year-old woman with isolated left breast hydatid cysts is presented. The patient had the complaint of painless mass in the left breast for one year. Imaging methods revealed a mobile lesion with smooth margins. Under local anesthesia, the mass was totally removed. Pathological examination made the diagnosis of hydatid cyst. The patient received mebendazole treatment for 3 months. During follow-up visits, no recurrence was found.
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    Selecting a Surgical Modality to Treat a Splenic Hydatid Cyst: Total Splenectomy or Spleen-Saving Surgery?
    (Springer, 2012) Arikanoglu, Zulfu; Taskesen, Fatih; Gumus, Hatice; Onder, Akin; Aliosmanoglu, Ibrahim; Gul, Mesut; Akgul, Omer Lutfi
    We analyzed the outcomes and effectiveness of surgical treatments and clinical manifestations of splenic hydatid cysts. Between 2000 and 2011, we retrospectively reviewed the cases of 11 patients who were operated on for a splenic hydatid cyst. The demographic features, medical history, physical examinations, biochemical and serological tests, imaging modalities, and surgical treatment of the patients were noted. The mean patient age was 36.45 years (range, 20-66 years). While isolated splenic hydatid disease was present in five patients, other abdominal hydatid cysts were accompanied by a splenic hydatid cyst in six patients. Left upper abdominal pain was present in seven (64%) patients, whereas four (36%) patients were asymptomatic. Eight patients (72.72%) had undergone a total splenectomy and three (27.28%) had undergone spleen-preserving surgery. Postoperative complications developed in four (36%) patients at 5-15 days postoperatively. Management of a splenic hydatid cyst is not consensual. Total splenectomy is optimal because it provides definitive treatment. However, spleen-preserving surgery is the preferred treatment in selected patients. The choice of technique depends on the localization, number, and size of hydatid cysts, and the absence or presence of other hydatic organ cysts.