Borgonovo G, Razzetta F, Varaldo E, Cittadini G, Ceppa P, Torre G C, Mattioli F
Istituto di Clinica Chirurgica Generale, University of Genova, Italy.
Hepatogastroenterology. 1998 Sep-Oct;45(23):1770-3.
Inflammatory pseudotumors of the liver are rare, and their natural history is mostly unknown. Making the diagnosis is often difficult, and these masses are often confused with other lesions, generally either primary or secondary neoplasms. The case of a patient who had an exhaustive preoperative work-up, including ultrasonography, CT scan and MRI, is herein presented. The characteristics of each exam, particularly those of the MRI, in which the pattern is poorly described in the literature, are reported. A fine needle biopsy was not contributive, as it was performed too centrally within the nodule. Only a high degree of suspicion and the existence of this tumor might lead to a preoperative diagnosis, thus avoiding major surgery. However, as is evident from the experiences of most authors and from our own, doubt may persist even after an exhaustive work-up. Since the morbidity and mortality of liver resection of noncirrhotic livers is low, surgery should be considered the treatment of choice.
肝脏炎性假瘤较为罕见，其自然病程大多尚不明确。做出诊断往往困难重重，这些肿块常与其他病变相混淆，通常是原发性或继发性肿瘤。本文介绍了一名患者的病例，该患者术前进行了全面的检查，包括超声检查、CT扫描和MRI。报告了每项检查的特点，尤其是MRI的特点，而关于MRI表现模式在文献中的描述较少。细针穿刺活检并无帮助，因为穿刺是在结节中心部位进行的。只有高度怀疑并存在这种肿瘤才可能在术前做出诊断，从而避免进行大手术。然而，从大多数作者的经验以及我们自己的经验来看，即便进行了全面检查，疑虑可能依然存在。由于非肝硬化肝脏肝切除术的发病率和死亡率较低，手术应被视为首选治疗方法。
