[Hepatic inflammatory pseudotumor regressing with antibiotic therapy].

Autor:	Casassus-Builhé D; Service des maladies digestives et tropicales, Hôpital d'instruction des armées Robert-Picqué, Route de Toulouse, 33998 Bordeaux Armées. d.kaza@wanadoo.fr, Le Bougeant P, Carmois T, Terrier F, Chauveau E, Armand JP, Oddes B
Jazyk:	francouzština
Zdroj:	Presse medicale (Paris, France : 1983) [Presse Med] 2002 May 25; Vol. 31 (18), pp. 838-40.
Abstrakt:	Introduction: Inflammatory hepatic pseudo-tumors are rare, non-neoplastic lesions, and their diagnosis is usually made on hepatectomy samples. Observation: The general health of a 77 year-old patient was suddenly altered and clinical examination (and scan) revealed a hepatic tumor. Diagnosis of inflammatory hepatic pseudo-tumor was evoked by analysis of a biopsy. In view of the age and the general state of the patient we chose prolonged antibiotic therapy rather than hepatic surgery. Nine months later, the tumor had regressed. Comments: Because they are rare (100 cases described), hepatic pseudo-tumors raise two questions: can diagnosis be made simply by biopsy or should one always analyze the complete sample and, if hepatectomy is contraindicated, is non-surgical treatment effective? The progression of our patient permits us to reply positively to both questions.
Databáze:	MEDLINE
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