Gollapudi P, Chejfec G, Zarling E J
Department of Medicine, Loyola University, Chicago, Illinois.
Am J Gastroenterol. 1992 Feb;87(2):214-7.
Inflammatory pseudotumor of the liver is a rare benign lesion that usually has been discovered at laparotomy and treated by hepatic resection. We report a case of hepatic pseudotumor that was treated without surgery and that subsequently spontaneously resolved. Hepatic pseudotumor occur in all age groups, but most commonly in middle-aged adults, with a 3.5:1 male predominance. Presenting symptoms are 1 or 2 months of fever (66%), abdominal pain (51%), and weight loss (21%). Most often, the lesions are solitary encapsulated tumors composed of whorled laminated fibrous stroma and chronic inflammatory infiltrate. Our report provides documentation of spontaneous resolution of a hepatic pseudotumor.
肝脏炎性假瘤是一种罕见的良性病变，通常在剖腹手术时被发现并通过肝切除术进行治疗。我们报告一例未经手术治疗且随后自行消退的肝脏假瘤病例。肝脏假瘤可见于所有年龄组，但最常见于中年成年人，男性患病率是女性的3.5倍。主要症状为持续1至2个月的发热（66%）、腹痛（51%）和体重减轻（21%）。大多数情况下，病变为孤立的包膜肿瘤，由漩涡状层状纤维基质和慢性炎性浸润组成。我们的报告提供了肝脏假瘤自行消退的记录。
