Salceda Juan, Tayar Claude, Laurent Alexis, Alain Luciani, Cherqui Daniel, Azoulay Daniel
Digestive and Hepato-Biliary Surgery Department, Paris-Est Créteil University, France.
Acta Gastroenterol Latinoam. 2013 Mar;43(1):48-52.
Inflammatory pseudo-tumor of the liver is a rare benign condition. Usually presented as a large liver mass, may cause obstruction or infiltration of the main vessels or biliary tree. The clinical presentation is mostly an inflammatory syndrome with acute abdominal pain. We present a 39-year-old female patient with abdominal pain, fever and jaundice. Images showed a 15-cm liver lesion in the left lobe of the liver. Malignancy could not be discarded and the patient underwent left hepatectomy. The histologic examination reported an inflammatory pseudo-tumor of the liver. The patient recurred after one year with the same symptoms and a 10-cm new lesion occupying segment I. Considered as a recurrence, medical treatment was decided tumor size decreased 50% after the first month and completely disappeared during the follow up. Two years later, the patient was readmitted with a new episode and a new 8-cm liver lesion in segment VII. She was treated again with anti-inflammatory medication and imaging control. Although inflammatory pseudo-tumor of the liver is a benign condition, it can have a recurrent behaviour. The differentiation with other malignant tumors sometimes is impossible by clinical and imaging presentation.
肝脏炎性假瘤是一种罕见的良性疾病。通常表现为肝脏巨大肿块，可能导致主要血管或胆管树的阻塞或浸润。临床表现多为伴有急性腹痛的炎症综合征。我们报告一例39岁女性患者，有腹痛、发热和黄疸症状。影像学检查显示肝脏左叶有一个15厘米的肝脏病变。不能排除恶性肿瘤，患者接受了左半肝切除术。组织学检查报告为肝脏炎性假瘤。患者在一年后复发，出现相同症状，且有一个10厘米的新病变占据Ⅰ段。考虑为复发，决定进行药物治疗，第一个月后肿瘤大小缩小50%，随访期间完全消失。两年后，患者因新发病例再次入院，肝脏Ⅶ段出现一个8厘米的新病变。再次给予抗炎药物治疗并进行影像学监测。尽管肝脏炎性假瘤是良性疾病，但它可能具有复发行为。有时通过临床和影像学表现无法与其他恶性肿瘤相鉴别。
