Spectrum of Typical and Atypical Clinico-Histopathological and Radiological Presentation of Soft Tissue and Muscular Cysticercosis in Mid-Western and Far-Western Region of Nepal.
BACKGROUND
Soft tissue and muscular involvement in cysticercosis is a relatively rarer presentation.


METHODS
Twenty seven histopathologically confirmed cases of soft tissue and muscular cysticercosis were collected and the clinical, radiological data was reviewed.


RESULTS
There was female predominance for the lesions (19 cases among 27 cases). The most common location for the lesion was in the arm (9 cases), thigh (4 cases), forearm (7 cases), abdominal wall (4 cases) followed by nape of the neck (2 cases). Lesion ranged from 8 mm to 5 cm in size. Ultrasound was diagnostic in 24 cases and inconclusive in three cases. Histopathologically, intact cyst wall was noted in 12 cases, scolex in 5 cases. Seven cases showed degenerating cyst wall surrounded by inflammatory cells, granulation tissue and fibrosis.


CONCLUSIONS
Fine needle aspiration cytology and histopathological assessment is prudent in the diagnosis of soft tissue and muscular cysticercosis in cases posing clinical diagnostic dilemma.
Lecturer, Department of Pathology, Nepalgunj Medical College and Teaching Hospital , Banke, Nepal .
Pragya Gautam
PG
Ghimire
Assistant Professor, Department of Radiology, Nepalgunj Medical College and Teaching Hospital , Banke, Nepal .
Prasanna
P
Ghimire
Lecturer, Department of Pathology, Nepalgunj Medical College and Teaching Hospital , Banke, Nepal .
Reena
R
Rana
Cytology; Parasitic infection; Scolex; T. Solium