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Subcutaneous Sparganosis on Abdomen Mimicking Multiple Lipomas.
Korean J Parasitol 2019; 57(5):513-516KJ

Abstract

Human sparganosis is a food-borne zoonosis mainly caused by the plerocercoid belonging to the genus Spirometra. The most common clinical sign of sparganosis is a subcutaneous mass in the trunk including abdominal or chest wall. The mass may be mistaken for a malignant tumor, thereby causing difficulty in terms of diagnosis and treatment. A 66-year-old woman visited our clinic for the removal of a lipoma-like mass. It was movable, hard, and painless. We identified 2 white mass, measuring 0.2×4 cm and 0.2×1 cm. Pathologic findings indicated the white mass was a sparganum. She recalled having eaten a raw frog approximately 60 years before. A 35-year-old who lived North Korea was also presented to our clinic with an asymptomatic nodule on her abdomen. Intraoperatively, we found sparganum approximately 24 cm size. Subcutaneous masses are associated with clinical signs of inflammation or they may mimic a soft tissue neoplasm. While the incidence rate of sparganosis has decreased with economic development and advancements in sanitation, surgeons still encounter patients with sparganosis in the clinical setting. Therefore, a careful history is required in order to diagnose sparganosis.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Cheonan 31151, Korea.Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Cheonan 31151, Korea.Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Cheonan 31151, Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31715692

Citation

Ahn, Seung Ki, et al. "Subcutaneous Sparganosis On Abdomen Mimicking Multiple Lipomas." The Korean Journal of Parasitology, vol. 57, no. 5, 2019, pp. 513-516.
Ahn SK, Choi HJ, Kim JH. Subcutaneous Sparganosis on Abdomen Mimicking Multiple Lipomas. Korean J Parasitol. 2019;57(5):513-516.
Ahn, S. K., Choi, H. J., & Kim, J. H. (2019). Subcutaneous Sparganosis on Abdomen Mimicking Multiple Lipomas. The Korean Journal of Parasitology, 57(5), pp. 513-516. doi:10.3347/kjp.2019.57.5.513.
Ahn SK, Choi HJ, Kim JH. Subcutaneous Sparganosis On Abdomen Mimicking Multiple Lipomas. Korean J Parasitol. 2019;57(5):513-516. PubMed PMID: 31715692.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Subcutaneous Sparganosis on Abdomen Mimicking Multiple Lipomas. AU - Ahn,Seung Ki, AU - Choi,Hwan Jun, AU - Kim,Jun Hyuk, Y1 - 2019/10/31/ PY - 2019/02/06/received PY - 2019/09/16/accepted PY - 2019/11/13/entrez PY - 2019/11/14/pubmed PY - 2019/11/14/medline KW - Sparganosis KW - abdominal mass KW - subcutaneous tissue SP - 513 EP - 516 JF - The Korean journal of parasitology JO - Korean J. Parasitol. VL - 57 IS - 5 N2 - Human sparganosis is a food-borne zoonosis mainly caused by the plerocercoid belonging to the genus Spirometra. The most common clinical sign of sparganosis is a subcutaneous mass in the trunk including abdominal or chest wall. The mass may be mistaken for a malignant tumor, thereby causing difficulty in terms of diagnosis and treatment. A 66-year-old woman visited our clinic for the removal of a lipoma-like mass. It was movable, hard, and painless. We identified 2 white mass, measuring 0.2×4 cm and 0.2×1 cm. Pathologic findings indicated the white mass was a sparganum. She recalled having eaten a raw frog approximately 60 years before. A 35-year-old who lived North Korea was also presented to our clinic with an asymptomatic nodule on her abdomen. Intraoperatively, we found sparganum approximately 24 cm size. Subcutaneous masses are associated with clinical signs of inflammation or they may mimic a soft tissue neoplasm. While the incidence rate of sparganosis has decreased with economic development and advancements in sanitation, surgeons still encounter patients with sparganosis in the clinical setting. Therefore, a careful history is required in order to diagnose sparganosis. SN - 1738-0006 UR - https://www.unboundmedicine.com/medline/citation/31715692/Subcutaneous_Sparganosis_on_Abdomen_Mimicking_Multiple_Lipomas L2 - http://www.parasitol.or.kr/kjp/DOIx.php?id=10.3347/kjp.2019.57.5.513 DB - PRIME DP - Unbound Medicine ER -