Rajamanickam Chandrasekaran Kalki, Aftab Syed, Al Jajeh Issam, Kumar Rajneesh
Gastroenterology and Hepatology, Sengkang General Hospital, Singapore, SGP.
Diagnostic Radiology, Sengkang General Hospital, Singapore, SGP.
Cureus. 2023 Sep 25;15(9):e45897. doi: 10.7759/cureus.45897. eCollection 2023 Sep.
Inflammatory pseudotumors (IPTs) of the liver can mimic malignant lesions. As the name implies, they are usually associated with an inflammatory process and usually regress with the treatment of the underlying pathology. We report a case of a 67-year-old female who presented with right upper quadrant pain, deranged liver enzymes, elevated tumor markers [alpha-fetoprotein (AFP) and CA 19-9], and a large liver mass on imaging, suspected to be hepatocellular carcinoma (HCC). She was eventually diagnosed with IPT complicating the liver inflammation due to autoimmune hepatitis (AIH). She responded well to treatment with steroids and immunosuppressive therapy.
肝脏炎性假瘤（IPT）可酷似恶性病变。顾名思义，它们通常与炎症过程相关，且通常会随着潜在病理状况的治疗而消退。我们报告一例67岁女性病例，该患者表现为右上腹疼痛、肝功能酶指标紊乱、肿瘤标志物[甲胎蛋白（AFP）和CA 19-9]升高，影像学检查发现肝脏有一个大肿块，怀疑为肝细胞癌（HCC）。她最终被诊断为因自身免疫性肝炎（AIH）并发肝脏炎症的IPT。她对类固醇和免疫抑制治疗反应良好。
