Huge Hepatic Fungal Inflammatory Pseudotumor Misdiagnosed as Primary Hepatocellular Carcinoma
| Autor: | Zuo Feng Xu, Dan Zeng, Wen Tong Lan, Hui Huang, Meng Fei Xian |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Carcinoma Hepatocellular Biopsy Granuloma Plasma Cell Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Medicine Humans Radiology Nuclear Medicine and imaging Diagnostic Errors Transcatheter arterial chemoembolization Ultrasonography Interventional medicine.diagnostic_test business.industry Liver Diseases Liver Neoplasms Middle Aged Right upper quadrant medicine.disease medicine.anatomical_structure Liver Mycoses 030220 oncology & carcinogenesis Hepatocellular carcinoma Inflammatory pseudotumor Abdomen 030211 gastroenterology & hepatology Radiology Ultrasonography business Rare disease |
| Zdroj: | Ultrasound quarterly. 33(3) |
| ISSN: | 1536-0253 |
| Popis: | Fungal inflammatory pseudotumor (FIPT) of the liver is a rare disease that may be mistaken for a malignant tumor. It is difficult to diagnose because of its nonspecific clinical and imaging features. We report the case of a 46-year-old Asian man who presented with a mass in the right upper quadrant of the abdomen. The patient had undergone transcatheter arterial chemoembolization therapy at another institution 6 months earlier, but the mass had continued to enlarge. He had no history of chronic hepatitis B, and the serum α-fetoprotein was negative. Contrast-enhanced ultrasonography and computed tomography images were suggestive of hepatocellular carcinoma. However, ultrasound-guided biopsy revealed features of chronic inflammation. The mass was resected and found to be an FIPT. We discuss the details of the case and review related articles. |
| Databáze: | OpenAIRE |
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