Singh Pritam, Singla Montish, Gupta Nitin, Muzaffar Jameel, Babu Ram, Sakhuja Puja, Aggarwal Anil, Kar Premashish
Department of Surgical Gastroenterology and Pathology, GB Pant Hospital, Department of Medicine, Maulana Azad Medical College, New Delhi, India.
Trop Gastroenterol. 2008 Jan-Mar;29(1):40-3.
Inflammatory pseudotumour is a rare, focal, benign inflammatory lesion of the liver parenchyma. It is largely a self-limiting entity and has favorable prognosis; it is thus important to preoperatively distinguish this lesion from malignancy, which it closely imitates. Inflammatory pseudotumour may present variously. We present the case of a 54-year old gentleman who presented with a three-month history of low-grade intermittent fever. Ultrasonography and computed tomography revealed a mass in the left lobe of the liver and the erythrocyte sedimentation rate was raised with coincident hypergammaglobulinaemia. A diagnostic laparotomy with left lateral hepatectomy was performed and histopathological evaluation of the specimen along with special staining and tissue culture revealed an inflammatory pseudotumour. On the second day post-operative the fever subsided and following an uneventful five days the patient was discharged and remains well at one-year follow up with no recurrence or relapse.
炎性假瘤是肝实质内一种罕见的、局限性、良性炎性病变。它在很大程度上是一种自限性疾病，预后良好；因此，术前将这种病变与它极易模仿的恶性肿瘤区分开来很重要。炎性假瘤可能有多种表现形式。我们报告一例54岁男性患者，有3个月的低热间歇性发热病史。超声检查和计算机断层扫描显示肝脏左叶有一个肿块，红细胞沉降率升高并伴有高球蛋白血症。进行了诊断性剖腹手术并切除左肝外侧叶，对标本进行组织病理学评估以及特殊染色和组织培养后发现是炎性假瘤。术后第二天发热消退，经过平稳的5天恢复后患者出院，在1年的随访中情况良好，无复发或再发。
