Intrahepatic Cholangiocarcinoma Mimicking Hepatic Inflammatory Pseudotumor
| Autor: | Hiroaki Shiba, Katsuhiko Yanaga, Kumiko Kitajima, Yuichi Ishida, Noriatsu Ichiba, Takuya Nojiri, Tadashi Uwagawa |
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| Rok vydání: | 2007 |
| Předmět: |
Male
Pathology medicine.medical_specialty Granuloma Plasma Cell Benign tumor Cholangiocarcinoma Diagnosis Differential Humans Medicine Pathological Intrahepatic Cholangiocarcinoma medicine.diagnostic_test business.industry Liver Neoplasms Gastroenterology Magnetic resonance imaging Nodule (medicine) Middle Aged Hepatitis B medicine.disease Bile Ducts Intrahepatic Bile Duct Neoplasms Inflammatory pseudotumor Immunohistochemistry Surgery Radiology medicine.symptom business |
| Zdroj: | Journal of Gastrointestinal Surgery. 11:398-402 |
| ISSN: | 1873-4626 1091-255X |
| Popis: | A 50-year-old male with hepatitis B was referred for a small intrahepatic nodule. Magnetic resonance images raised strong suspicion of a benign lesion, such as an inflammatory pseudotumor, while the other radiological studies were equivocal. Furthermore, the high-intensity image on diffusion magnified-weighted imaging with a low B value strongly suggested a benign tumor. In spite of the absence of typical clinical or radiological findings, needle biopsy revealed an intrahepatic cholangiocarcinoma (ICC). The diagnosis of peripheral ICC rich in fibrous tissue seems to require needle biopsy for pathological examination with immunohistochemical staining because it frequently mimics other diseases, including benign tumors. |
| Databáze: | OpenAIRE |
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