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Radical Resection for Alveolar Hydatid Disease

Frederick J. Hillman, MD
JAMA. 1964;187(2):155. doi:10.1001/jama.1964.03060150079031.
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To the Editor:—  There are two major errors in the article, "Alveolar Hydatid Disease," by La Fond and associates in the Oct 5 issue of The Journal (186:35): (1) The authors state that treatment of the disease is usually impossible. Contrary to this, alveolar hydatid disease is often treatable by radical resection of the diseased organs, usually by hemihepatectomy of the involved lobe of the liver as described by West et al.1 Even though the parasitic cysts infiltrate the liver diffusely, they may be confined to one lobe. The patient presented would have been a candidate for resection, as the authors report that at autopsy the lesion was found to be confined to the right lobe. (2) Instead of one, there are 11 cases previously reported from North America: one autochthonous case from Canada reported by James and Boyd2 in 1937; two cases in immigrants from Europe,


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