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两例酷似肝脏恶性肿瘤的假瘤病例。

Two pseudotumor cases mimicking liver malignancy.

作者信息

Çakır Mikail, Tüzün Sefa, Savaş Anıl, Tosyalı Yılmaz

机构信息

Clinic of General Surgery, Haseki Training and Research Hospital, İstanbul, Turkey.

Clinic of Pathology, Haseki Training and Research Hospital, İstanbul, Turkey.

出版信息

Turk J Surg. 2015 Jul 2;33(3):212-216. doi: 10.5152/UCD.2015.2912. eCollection 2017.

DOI:10.5152/UCD.2015.2912
PMID:28944337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5602316/
Abstract

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.

摘要

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。

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本文引用的文献

1
Inflammatory pseudotumor mimicking primary hepatic malignant tumor with hepatitis B virus-related cirrhosis: A case report.炎症性假瘤酷似合并乙型肝炎病毒相关性肝硬化的原发性肝恶性肿瘤:一例报告
Oncol Lett. 2013 Aug;6(2):550-552. doi: 10.3892/ol.2013.1386. Epub 2013 Jun 10.
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Hepatic inflammatory pseudotumor: A case series.肝炎性假瘤:病例系列
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Inflammatory pseudotumor of the liver: a case report and review of the literature.肝脏炎性假瘤:一例病例报告及文献复习
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Inflammatory myofibroblastic tumor of the liver: a cohort study.肝炎性肌纤维母细胞瘤:一项队列研究。
World J Surg. 2010 Feb;34(2):309-13. doi: 10.1007/s00268-009-0330-x.
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Inflammatory pseudotumours of the liver: a spectrum of presentation and management options.肝脏炎性假瘤:临床表现及治疗选择的范围
Eur J Surg Oncol. 2009 Dec;35(12):1295-8. doi: 10.1016/j.ejso.2009.04.003. Epub 2009 Jun 9.
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Inflammatory pseudotumor of the liver treated by hepatic resection: a case report.肝切除治疗肝脏炎性假瘤:一例报告
Yonsei Med J. 2006 Feb 28;47(1):140-3. doi: 10.3349/ymj.2006.47.1.140.
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Inflammatory pseudotumor of the liver: ferumoxide-enhanced MR imaging as a tiebreaker.肝脏炎性假瘤:超顺磁性氧化铁增强磁共振成像作为鉴别诊断的关键手段
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Inflammatory pseudotumour of the liver--evidence for malignant transformation.肝脏炎性假瘤——恶性转化的证据
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