The pathogenesis of alveolar echonococcosis caused by the metacestode
of Echinococcus multilocularis is a. process involving the host-parasi
te interface with both local and distant systemic effects. The surviva
l strategy of the parasite is to continuously subvert the host defense
s just as the host responds to contain the infection. There is a compl
ex of signal molecules mediating between parasite-elaborated factors a
nd specific and non specific cellular immune responses behind the gros
s pathological picture of a space-occupying lesion. This paper attempt
s to summarize the relationship of experimental findings with the clin
icopathological picture by outlining pathways that may be involved in
the process of pathogenesis.