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22 August 2025 : Case report  Jordan

Thoracoscopic Approach for Treating a Primary Hydatid Cyst in the Thymus in a Teenager: A Case Report

Unusual clinical course, Challenging differential diagnosis

Mohammad Al-Hurani ORCID logo ABEF 1*, Yousef Al-Hadrab B 2, Khaleel Raslan Ayoub BE 2, Amjad Al-Salhi E 2, Hala Sadi Al-Sarsour B 3, Gregor Jan Kocher ORCID logo AE 4

DOI: 10.12659/AJCR.948600

Am J Case Rep 2025; 26:e948600

Figure 7 Histological features of a hydatid cyst involving the thymus. (A) Low-power photomicrograph showing multiple sections of thymic tissue with preserved lobular architecture involved by a cystic lesion (H&E, scale bar=5 mm). (B) A separate low-power view highlights the characteristic acellular laminated membranes of the hydatid cyst arranged in concentric layers (H&E, scale bar=5 mm). (C) Higher magnification reveals the interface between residual thymic parenchyma on the left and the fibrous outer capsule of the cyst on the right (H&E, scale bar=800 μm). (D) High-power image demonstrates viable thymic tissue (yellow asterisk) adjacent to multiple protoscolices (black circles) within the cyst cavity (H&E, scale bar=400 μm). (E) Closer view of protoscolices shows internal structures including hooklets (H\&E, scale bar=200 μm). (F) The inner aspect of the laminated cyst wall is lined by a germinal epithelial layer (black arrow), consistent with an active echinococcal cyst (H&E, scale bar=200 μm).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923