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논문 기본 정보

자료유형
학술저널
저자정보
Su-Jin Kim (Dong-A University College of Medicine) Jong-Han Kim (Dong-A University College of Medicine) Sang-Young Han (Dong-A University College of Medicine) Young-Hoon Kim (Dong-A University College of Medicine) Jin-Han Cho (Dong-A University College of Medicine) Jong-Yil Chai (Seoul National University College of Medicine) Jin-Sook Jeong (Dong-A University College of Medicine)
저널정보
대한기생충학열대의학회 Parasites, Hosts and Diseases The Korean Journal of Parasitology Vol.49 No.4
발행연도
2011.12
수록면
413 - 418 (6page)

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초록· 키워드

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Human alveolar echinococcosis (AE), a hepatic disorder that resembles liver cancer, is a highly aggressive and lethal zoonotic infection caused by the larval stage of the fox tapeworm, Echinococcus multilocularis. E. multilocularis is widely distributed in the northern hemisphere; the disease-endemic area stretches from north America through Europe to central and east Asia, including northern parts of Japan, but it has not been reported in Korea. Herein, we represent a first case of AE in Korea. A 41-year-old woman was found to have a large liver mass on routine medical examination. The excised mass showed multinodular, necrotic, and spongiform appearance with small irregular pseudocystic spaces. Microscopically, the mass was composed of chronic granulomatous inflammation with extensive coagulation necrosis and parasite-like structure, which was revealed as parasitic vesicles and laminated layer delineated by periodic acid-Schiff (PAS) stain. Clinical and histologic features were consistent with AE. After 8 years, a new liver mass and multiple metastatic pulmonary nodules were found and the recurred mass showed similar histologic features to the initial mass. She had never visited endemic areas of AE, and thus the exact infection route is unclear.

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Abstract
INTRODUCTION
CASE RECORD
DISCUSSION
REFERENCES

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UCI(KEPA) : I410-ECN-0101-2014-510-002511217