Kim Young Wan, Lee Jae Gil, Kim Kyung Sik, Yoon Dong Sub, Lee Woo Jung, Kim Byung Ro, Shin Eun Ah, Park Young Nyun, Choi Jin Sub
Department of Surgery, Yonsei University College of Medicine, Seodaemun-gu, Seoul 120-752, Korea.
Yonsei Med J. 2006 Feb 28;47(1):140-3. doi: 10.3349/ymj.2006.47.1.140.
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.
肝脏炎性假瘤(IPT)是一种罕见的良性肿瘤。当通过活检确诊为IPT时,由于其有可能自行消退,故首选单纯观察或保守治疗。但如果IPT对保守治疗无反应,则应考虑手术切除。我们遇到一名63岁男性,其腹部计算机断层扫描(CT)和磁共振成像(MRI)扫描怀疑为肝细胞癌,有2个月间歇性发热和体重减轻的病史。经皮超声引导下的核心活检确诊为肝脏IPT。分别给予非甾体类抗炎药和抗生素治疗8周和4周,但发热仍持续。因此,对肝脏IPT实施了扩大右肝切除术,随后发热消退。在12个月的随访期内,患者情况良好。