Çakır Mikail, Tüzün Sefa, Savaş Anıl, Tosyalı Yılmaz
Clinic of General Surgery, Haseki Training and Research Hospital, İstanbul, Turkey.
Clinic of Pathology, Haseki Training and Research Hospital, İstanbul, Turkey.
Turk J Surg. 2015 Jul 2;33(3):212-216. doi: 10.5152/UCD.2015.2912. eCollection 2017.
Inflammatory pseudotumor of the liver is a rare benign tumor that can be confused with malignant tumors of the liver. It is usually diagnosed after pathologic evaluation of the resected lesion. If a mass lesion in the liver is suspicious for malignancy on radiologic evaluation then surgical resection is planned for suitable patients rather than a biopsy. Inflammatory pseudotumors are similar to malignant tumors on macroscopic assessment, but microscopically they are characterized by the presence of inflammatory cells. In case of clinical or radiologic suspicion, the lesion is biopsied and once the diagnosis of inflammatory pseudotumor is made the lesion is managed by conservative-medical treatment. It must be kept in mind as part of differential diagnosis to avoid unnecessary surgery.
肝脏炎性假瘤是一种罕见的良性肿瘤,可能会与肝脏恶性肿瘤相混淆。它通常在对切除的病变进行病理评估后确诊。如果肝脏的肿块病变在影像学评估中怀疑为恶性,则会为合适的患者安排手术切除,而不是活检。炎性假瘤在宏观评估上与恶性肿瘤相似,但在显微镜下其特征是存在炎性细胞。在临床或影像学怀疑的情况下,对病变进行活检,一旦确诊为炎性假瘤,该病变则采用保守药物治疗。必须将其作为鉴别诊断的一部分牢记在心,以避免不必要的手术。