Primary subcutaneous XXXX : a review of 22 cases.

@entity1 @entity8434 @entity2021
AIM: We aimed to review cases of primary subcutaneous @entity8434 whether this is a fearsome disease or a benign progressed pathology. These cysts are rare, have difficulty in diagnosis and management, particularly for inexperienced clinicians. METHODS: We searched key words of " @entity8434 , hydatid, soft tissue, subcutaneous, cutaneous" at MEDLINE/PUBMED. We eliminated unrelated articles, cases with primary visceral hydatid focus or muscular cysts. Twenty publications including 22 @entity1 were suitable for analysis. We contacted with authors of the articles for missing data. Follow-up periods and recurrences were updated. RESULTS: All @entity1 were from endemic areas and most from rural regions (90%). Most frequent locations were thigh (27%) and gluteal region (9%). Mean size was 5.7 + 3.1 cm (2-15 cm). Main symptom (70%) was painless, slow growing mass with normal overlying skin. Serologic tests were usually negative (79%). Only 45% of the @entity1 were diagnosed as hydatid cyst before treatment. Most cases (91%) were treated by surgical excision and spillage occurred at 25% of them. Cyst pouchs were irrigated with protoscolocidal solutions after cyst removal. There was no @entity2021 during procedures. There was no recurrence with a mean follow-up of 26 + 18 months (6-60 months). CONCLUSION: Primary subcutaneous hydatid cyst should be in mind for differential diagnosis of soft tissue masses particularly for @entity1 who lived in regions where hydatid cyst is endemic. There is no reported @entity2021 or recurrence during diagnostic or therapeutic interventions. Complete excision is the best treatment option. Primary subcutaneous @entity8434 generally look like a benign progressed disease.
