大腿皮下裂头蚴病误诊为脂肪瘤1例

One case of subcutaneous human sparganosis disease of thigh misdiagnosed as lipoma

人裂头蚴病是一种罕见的寄生虫病,裂头蚴虫体可浸及脑、乳腺等器官,且误诊率高。2022年1月福建医科大学附属龙岩第一医院烧伤整形与创面修复外科门诊诊治1例大腿皮下裂头蚴病。该患者多次在其他医院按脂肪瘤进行随诊观察,未经任何治疗。就诊作者医院后,结合病史及肿物特征,亦按常见体表肿物中的"脂肪瘤"进行手术切除治疗,术中发现活的虫体,术后经病理及专家会诊证实为裂头蚴。术后随访6个月未见局部复发。该文作者就此病例的诊断思路、治疗方法等进行回顾讨论,以为此类疾病的预防及治疗提供更多临床经验,减少误诊发生。

Human sparganosis is a rare parasitic disease.Pleroceroid can infiltrate brain,mammary gland and other organs,with a high misdiagnosis rate.A case of subcutaneous sparganosis disease of thigh was diagnosed and treated in the Burn,Plastic Surgery and wound Repair Department of Longyan First Hospital Affiliated of Fujian Medical University in January 2022.The patient was followed up for lipoma in other hospitals for many times with no clinical treatment.Combined with the medical history and characteristic of the mass,we also treated the mass as"lipoma"and surgical resection was performed in author’s hospital.Live worms were found intraoperatively,and finally confirmed as pleroceroid by pathology and expert consultation.No local recurrence was found in 6 months of follow-up.In order to reduce the misdiagnosis rate of the disease,the diagnosis and treatment methods were reviewed and discussed.This case may provide more clinical experience for the prevention and treatment of the disease.