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Correspondence
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Volume 333:1572 December 7, 1995 Number 23
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Images in Clinical Medicine: Echinococcal Cyst of the Pericardium

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 by Hall, F. M.
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To the Editor: The patient with a huge hydatid cyst of the pericardium (July 20 issue)1 died, I suspect, because of the attempted removal of the lesion.

It is always tempting to remove such lesions in toto, in an attempt to avert rupture with local spillage and an inevitable local recurrence. The pathology of the disease, however, argues against an excision strategy. Hydatid cysts of the species Echinococcus granulosus, as clearly shown in this instance in the two computed tomographic scans and the photograph of the specimens, create a fibrovascular layer around themselves. This is nothing more than compressed host . . . [Full Text of this Article]

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