Treatment of human hydatidosis is surgical. Lately, however, surgical
indications have decreased, due to pharmacological therapy and ultraso
und-guided percutaneous cyst puncture, aspiration of its contents, ins
tillation of medications and re-aspiration. As a general rule, surgica
l treatment is indicated in cysts larger than 10 cm 0 and located in e
xtra abdominal sites, such as thorax, brain or bone. The drug of choic
e is albendazole, in doses of 10 to 15 mg/kg/day for one month. Three
cures with intervals of 15 to 30 days in between, are generally used.
Thirty percent of cysts disappear, 30 to 50% experience degenerative c
hanges and 30 to 40% do not change. Aspirative needle puncture is used
, after four days of albendazole treatment, in those cysts that can be
reached percutaneously. .