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肝嗜酸性肉芽肿,酷似转移性肝肿瘤。

Eosinophilic Granuloma of the Liver Mimicking Metastatic Liver Tumor.

机构信息

Department of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, Japan.

Department of Pathology, Fukuoka University Faculty of Medicine, Japan.

出版信息

Intern Med. 2022 May 15;61(10):1511-1517. doi: 10.2169/internalmedicine.8438-21. Epub 2021 Oct 19.

Abstract

We herein report a case of coagulation necrosis with granulation and eosinophilic infiltration of the liver. A 37-year-old woman was diagnosed with a new mass lesion in the liver 1 month after breast cancer surgery and admitted for a further examination. Because the tumor occurred immediately after surgery, it was considered essential to determine whether or not it was a metastatic liver tumor from breast cancer. A percutaneous liver tumor biopsy revealed eosinophilic granuloma of the liver, which is considered to have a high possibility of visceral larva migrans with suspected gnathostomiasis infection. A detailed medical history and histological diagnosis are important for making a differential diagnosis.

摘要

我们在此报告一例肝脏凝固性坏死伴肉芽组织形成和嗜酸性粒细胞浸润。一位 37 岁女性在乳腺癌手术后 1 个月时被诊断为肝内新发占位性病变,遂入院进一步检查。由于肿瘤发生在手术后即刻,因此有必要确定其是否为乳腺癌的肝转移瘤。经皮肝肿瘤活检显示肝脏嗜酸性粒细胞肉芽肿,考虑内脏幼虫移行症(可能为颚口线虫感染)的可能性较大。详细的病史和组织学诊断对鉴别诊断很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15e/9177375/eaf7a4e99f0a/1349-7235-61-1511-g001.jpg

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