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肝脏炎性假瘤——一种罕见疾病及诊断难题。

Inflammatory pseudotumor of the liver--a rare entity and a diagnostic challenge.

作者信息

Zamir D, Jarchowsky J, Singer C, Abumoch S, Groisman G, Ammar M, Weiner P

机构信息

Department of Internal Medicine A, Hillel Yaffe Medical Center, Hadera, Israel.

出版信息

Am J Gastroenterol. 1998 Sep;93(9):1538-40. doi: 10.1111/j.1572-0241.1998.00476.x.

Abstract

Inflammatory pseudotumors are rare benign lesions that occur throughout the body. Hepatic pseudotumors are uncommon lesions, accompanied by fever, malaise, abdominal pain, and mass effect, and therefore are commonly misdiagnosed as malignant tumors or liver abscesses. Because even routine imaging procedures usually fail to differentiate hepatic pseudotumors from liver neoplasms, a diagnostic histology procedure is usually needed. We present a case of hepatic pseudotumor that resolved spontaneously and review the literature, including 40 previously reported cases and the differential diagnosis.

摘要

炎性假瘤是一种罕见的良性病变,可发生于全身各处。肝脏假瘤是不常见的病变,伴有发热、不适、腹痛及占位效应,因此常被误诊为恶性肿瘤或肝脓肿。由于即使常规影像学检查通常也无法将肝脏假瘤与肝脏肿瘤区分开来,所以通常需要进行诊断性组织学检查。我们报告一例自发消退的肝脏假瘤病例,并对文献进行综述,包括40例先前报道的病例及鉴别诊断。

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