What are the medical treatment options for hydatid disease (echinococcosis)?

Updated: May 07, 2019
  • Author: Imad S Dandan, MD; Chief Editor: BS Anand, MD  more...
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Answer

Medical management differs for cystic echinococcosis (CE) and alveolar echinococcosis (AE). In CE, surgery remains the primary treatment and the only hope for complete cure. Better forms of chemotherapy and newer methods, such as the puncture, aspiration, injection, and reaspiration (PAIR) technique are now available but need to be tested. Currently, indications for these modes of therapy are restricted. In AE, radical surgical excision is coupled with chemotherapy in operable cases and long-term aggressive chemotherapy for partially resected or unresectable lesions. In CE, one should consider the risks and benefits, indications, and contraindications for each case before making a decision regarding the type and timing of surgery.


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