To the Editor: The patient with a huge hydatid cyst of the pericardium(July 20 issue)1 died, I suspect, because of the attempted removalof the lesion.
It is always tempting to remove such lesions in toto, in anattempt to avert rupture with local spillage and an inevitablelocal recurrence. The pathology of the disease, however, arguesagainst an excision strategy. Hydatid cysts of the species Echinococcusgranulosus, as clearly shown in this instance in the two computedtomographic scans and the photograph of the specimens, createa fibrovascular layer around themselves. This is nothing morethan compressed host . . . [Full Text of this Article]
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