Title |
Medical treatment versus “Watch and Wait” in the clinical management of CE3b echinococcal cysts of the liver
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Published in |
BMC Infectious Diseases, September 2014
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DOI | 10.1186/1471-2334-14-492 |
Pubmed ID | |
Authors |
Francesca Rinaldi, Annalisa De Silvestri, Francesca Tamarozzi, Federico Cattaneo, Raffaella Lissandrin, Enrico Brunetti |
Abstract |
Available treatments for uncomplicated hepatic cystic echinococcosis (CE) include surgery, medical therapy with albendazole (ABZ), percutaneous interventions and the watch-and-wait (WW) approach. Current guidelines indicate that patients with hepatic CE should be assigned to each option based on cyst stage and size, and patient characteristics. However, treatment indications for transitional CE3b cysts are still uncertain. These cysts are the least responsive to non-surgical treatment and often present as indolent, asymptomatic lesions that may not warrant surgery unless complicated. Evidence supporting indications for treatment of this stage is lacking. In the attempt to fill this gap before the implementation of randomized clinical trials, we compared the clinical behavior of single hepatic CE3b cysts in 60 patients followed at the WHO Collaborating Centre for Cystic Echinococcosis of the University of Pavia. |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 41 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 7 | 17% |
Researcher | 6 | 15% |
Student > Doctoral Student | 6 | 15% |
Student > Bachelor | 5 | 12% |
Student > Postgraduate | 3 | 7% |
Other | 8 | 20% |
Unknown | 6 | 15% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 26 | 63% |
Immunology and Microbiology | 3 | 7% |
Biochemistry, Genetics and Molecular Biology | 2 | 5% |
Social Sciences | 1 | 2% |
Business, Management and Accounting | 1 | 2% |
Other | 0 | 0% |
Unknown | 8 | 20% |