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Alveolar echinococcosis of the liver in children

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Title: Alveolar echinococcosis of the liver in children
Authors: Yoshida, Tadashi Browse this author
Kamiyama, Toshiya Browse this author
Okada, Tadao Browse this author
Nakanishi, Kazuaki Browse this author
Yokoo, Hideki Browse this author
Kamachi, Hirofumi Browse this author
Matsushita, Michiaki Browse this author
Sato, Naoki Browse this author
Sasaki, Fumiaki Browse this author
Todo, Satoru Browse this author →KAKEN DB
Keywords: Child
Alveolar echinococcosis
Issue Date: Mar-2010
Publisher: Springer Japan
Journal Title: Journal of Hepato-Biliary-Pancreatic Sciences
Volume: 17
Issue: 2
Start Page: 152
End Page: 157
Publisher DOI: 10.1007/s00534-009-0114-6
PMID: 19390771
Abstract: Background/purpose. Alveolar echinococcosis of the liver (AEL) is a zoonosis that is distributed in cold regions of the northern hemisphere. The disease is mostly found in adults and rarely in pediatric patients because it tends to be slow growing. Patients and methods. Ten Japanese pediatric patients with AEL (under fifteen-year-old) have been operated on in Hokkaido University Hospital from January 1936 to June 2008. We examined these children and revealed the characteristics of AEL. Results. The patients included three males and seven females whose mean age was 10.9 years old, ranging from 7 to 15. The length of follow-up was from 3 months to 33 years (median: 19 years). Six cases were picked up by mass screening and nine cases who underwent hepatectomy are still alive and one case whose tumors were unresectable died of liver failure. Conclusion. Our cases indicate that some AEL pediatric patients advanced rapidly, so early detection is imperative. Thus, screening examinations are essential for children in contaminated areas, and complete radical resection should be performed if a liver tumor is found on a screening examination and diagnosed as AEL.
Rights: The original publication is available at
Type: article (author version)
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 藤堂 省

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