Inflammatory pseudotumor of the liver treated by hepatic resection: a case report.

Inflammatory pseudotumor of the liver treated by hepatic resection: a case report.
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DOI:
10.3349/ymj.2006.47.1.140
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发表时间:
2006-02-28
影响因子:
2.4
通讯作者:
Choi JS
Choi JS
中科院分区:
医学4区
文献类型:
--
作者:
Kim YW;Lee JG;Kim KS;Yoon DS;Lee WJ;Kim BR;Shin EA;Park YN;Choi JS

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肝脏炎性假瘤是一种罕见的良性肿瘤。当IPT的诊断是建立与活检,简单的观察或保守治疗是首选,因为回归的可能性。但保守治疗无效,应考虑手术切除。我们经历了一个63岁的男性,谁是怀疑肝细胞癌的腹部计算机断层扫描(CT)和磁共振成像(MRI)扫描,提出了2个月的历史间歇性发热和体重减轻。经皮超声引导的核心活检证实了肝脏的IPT。分别给予非甾体抗炎药和抗生素8周和4周,但发热持续。因此,进行了扩大的右半肝切除术以进行肝脏IPT,然后发热消退。患者在12个月的随访期内保持良好。
Inflammatory pseudotumor (IPT) of the liver is rare benign tumor. When the diagnosis of IPT is established with biopsy, simple observation or conservative therapy is preferred because of the possibility of regression. But IPT is unresponsive to the conservative treatment, surgical resection should be considered. We experienced a 63-year-old male, who was suspected hepatocellular carcinoma in abdominal computed tomography (CT) and magnetic resonance image (MRI) scan, presented with 2-month history of intermittent fever and weight loss. Percutaneous ultrasound guided core biopsy confirmed IPT of the liver. Non-steroidal anti-inflammatory drugs and antibiotics were administered for 8 and 4 weeks, respectively, but fever continued. So, extended right hepatectomy was performed for IPT of the liver and then fever subsided. The patient remains well during a follow-up period of 12 months.
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