Sarrami Amir Hossein, Baradaran-Mahdavi Mohammad Mehdi, Meidani Mohsen
Medical Students' Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Prev Med. 2012 Jun;3(6):432-4.
Liver inflammatory pseudotumor (IPT) is considered a benign inflammatory lesion mostly presented as a solitary solid mass in the right hepatic lobe. It may clinically and radiologically mimic a malignant liver tumor or an abscess. Accordingly, diagnoses of most of the reported cases have been established after surgical resection. In this report, we describe a 52-year-old woman with a 1-year history of fever of unknown origin. In the following investigation, abdominal computed tomography (CT) scan showed infiltrative lesion in the right hepatic lobe. The patient underwent a CT-guided needle biopsy of the hepatic lesion. Histopathologic study of biopsy specimen revealed the features of IPT. The patient was discharged and followedup for 6 months. After 6 months she had no complaint of fever and control liver ultrasonography disclosed no lesion. As liver IPT has favorable response to conservative therapy and may also resolve spontaneously, precise recognition of this condition with the help of fine-needle biopsy may help to avoid unnecessary surgery.
肝脏炎性假瘤（IPT）被认为是一种良性炎性病变，大多表现为右肝叶的孤立实性肿块。它在临床和影像学上可能会模仿恶性肝肿瘤或脓肿。因此，大多数报道病例的诊断是在手术切除后才得以确立。在本报告中，我们描述了一名52岁女性，有1年不明原因发热病史。在接下来的检查中，腹部计算机断层扫描（CT）显示右肝叶有浸润性病变。该患者接受了肝脏病变的CT引导下针吸活检。活检标本的组织病理学研究显示了IPT的特征。患者出院并随访6个月。6个月后，她没有发热主诉，肝脏超声检查未发现病变。由于肝脏IPT对保守治疗反应良好，也可能自行消退，借助细针活检精确识别这种情况可能有助于避免不必要的手术。
