Alveolar echinococcosis of the adrenal gland: brief review of two cases.

BACKGROUND: Alveolar echinococcosis located in the adrenal gland can be considered a rare and aggressive infestation that radiologically and macroscopically mimics a malignant neoplasm. Its pathogenesis is poorly understood. This paper describes its clinical and radiological aspects and discusses its proper management. METHODS: The records of two patients with adrenal gland alveolar echinococcosis who were diagnosed and treated in our center in 2009 were evaluated. RESULTS: Neither patient showed any signs of recurrence following radical surgical treatment and postoperative oral anthelmintic therapy. CONCLUSION: Radical surgery can be a feasible, effective management option that results in a good prospective outcome.