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Twenty patients with palpable cervical lymphadenopathy underwent Tc-99m (V) DMSA scintigraphy during their diagnostic work-up. In this prospective study, the scintigraphic findings were correlated with the clinical diagnoses and the results of the routine laboratory tests (complete blood count, biochemical analyses, chest X-ray, and tuberculin skin tests) and histopathological examinations of the excisional biopsy specimens.In patients with tuberculous lymphadenitis (diagnosed clinically and histopathologically) the intense Tc-99m (V) DMSA uptake in the involved cervical lymph nodes was found to be significant.In seems thaï Tc-99m (V) DMSA scintigraphy is a safe and non-invasive diagnostic imaging modality, that may be utilized in the initial work-up to assist in the differential diagnosis of cervicallymphadenopathies. The observed affinity of the radiopharmaceutical for mycobacteria-infected cervical lymph nodes seems to be congruent with the localization mechanism (i.e. structural similarity to phosphate ion) proposed by Ohta and his coworkers.

We report here five cases of Echinococcus Multilocularis infection. Of these five cases four were diagnosed by explorative laparotomy and one with ultrasonography - guided needle biopsy. Patients whose dieseases showed no improvement with mebendazole were given albendazole. Two of these patients died despite treatment while the other three are still alive and on albendazole treatment, under periodical controls. Because echinococcus multilocularis infection is an extremely rare disease and the diagnosis can generally be made at late stages of the disease, it should be kept in’ mind for the differential diagnosis of the hepatic masses. We believe that albendazole is an effective agent for the treatment of this disease.