颈部软组织大包虫囊肿延伸至纵隔：罕见病例报告和文献综述
Large Hydatid Cyst of the Cervical Soft Tissue Extending to the Mediastinum: A Report of a Rare Case and Literature Review.
摘要(中文译文)
棘球蚴病（感染）是一种主要累及肝脏和肺部的寄生虫病。颈部受累极为罕见，且可与其他良性颈部囊性病变相似，导致诊断困难。我们报告一例35岁女性，左侧颈部肿块逐渐增大并向纵隔上部延伸，引起吞咽困难和轻度气促。影像学显示一个大型囊性病变，内含子囊，紧邻颈部血管及锁骨下动脉，腹部和肺部均无受累。患者接受了经颈入路切除术，术中仔细保护周围结构，术后给予阿苯达唑治疗。患者恢复顺利，至今无复发。本病例提示，在颈部囊性肿块的鉴别诊断中应考虑棘球蚴病，尤其是在农村或流行地区。准确的术前影像学检查对于明确病变范围至关重要，尤其是当病变向纵隔延伸时，而精细的手术切除且避免囊壁破裂对于预防并发症和复发至关重要。
Abstract
Hydatid disease ( infection) is a parasitic condition primarily affecting the liver and lungs. Cervical involvement is extremely rare and can mimic other benign cystic neck lesions, making diagnosis challenging. We report a 35-year-old woman with a gradually enlarging left cervical mass extending toward the superior mediastinum, causing dysphagia and mild shortness of breath. Imaging revealed a large cystic lesion with daughter cysts abutting cervical vessels and the subclavian artery, with no abdominal or pulmonary involvement. The patient underwent transcervical excision with careful preservation of surrounding structures, followed by postoperative albendazole therapy. She recovered uneventfully and remains recurrence-free. This case highlights that hydatid disease should be considered in the differential diagnosis of cystic neck masses, particularly in rural or endemic regions. Accurate preoperative imaging is essential to delineate lesion extent, especially with mediastinal extension, and meticulous surgical excision without rupture is critical to prevent complications and recurrence.
如何引用
AMA
Mirwais Safi, Hamidullah Hamid, Ehsanullah Safi, Nasrullah Shefayee, Muhibullah Saifi. Large Hydatid Cyst of the Cervical Soft Tissue Extending to the Mediastinum: A Report of a Rare Case and Literature Review.. Cureus. 2026; doi:10.7759/cureus.106345.
APA
Mirwais Safi, Hamidullah Hamid, Ehsanullah Safi, Nasrullah Shefayee, Muhibullah Saifi (2026). Large Hydatid Cyst of the Cervical Soft Tissue Extending to the Mediastinum: A Report of a Rare Case and Literature Review.. Cureus. https://doi.org/10.7759/cureus.106345
GB/T 7714
Mirwais Safi, Hamidullah Hamid, Ehsanullah Safi, Nasrullah Shefayee, Muhibullah Saifi. Large Hydatid Cyst of the Cervical Soft Tissue Extending to the Mediastinum: A Report of a Rare Case and Literature Review.[J]. Cureus, 2026 doi:10.7759/cureus.106345.
在 PubMed增强版 阅读全文
翻译全文 · AI 文献问答 · PDF 原文下载 · 引用导出