肝硬化合併發炎性肝偽瘤破裂：一病例報告

Inflammatory Pseudotumor in Cirrhotic Liver: Report of a Case

王以仁(Yi-Jen Wang) ； 潘廣勤(Kwong-Kan Poon) ； 陳儉鏗(Gran-Hum Chen) ； 朱海榮(Hai-Rong Ju)

《中華民國消化系醫學會雜誌》 10卷2期 (1993/06) Pp. 178-183

https://doi.org/10.6557/GJTa.199306_10(2).0008

摘要

肝臟發炎性病灶類似腫瘤形成，是一種相當少見的良性腫瘤，臨床病理學上稱之為“發炎性肝偽瘤”(Inflammatory Pseudotumor of the Liver)，迄今只有25個病例曾在英文文獻上發表過，而發生在肝硬化病人更是少見。其發生原因及致病機轉；到目前為止還不清楚。我們報告一例54歲的男性肝硬化病人合併發炎性肝偽瘤，其臨床表徵無特異性，包括曾有發燒、腹脹和白血球過多症。而放射線影像檢查及手術前診斷，均傾向於肝內惡性腫瘤；同時合併腫瘤破裂，由此可見從臨床上要鑑別診斷是非常困難的，因此對於發炎性肝偽瘤我們必須謹記在心；以避免不必要或過度的手術治療，造成罹病率和死亡率的增加。

關鍵字

發炎性肝偽瘤

並列摘要

Inflammatory lesions in the liver simulating tumor formation are extremely rare. The clinicopathologic features of hepatic ”inflammatory pseudotumor (IPT)” are described and only 25 cases have been reported so far in the English literature. The etiology and pathogenesis of IPT of the liver is still obscure. We herein present an additional case of IPT of the live in a 54 year-old male cirrhotic patient. Clinical presentation was non-specific, comprised of fever, abdominal pain, fullness and leukocytosis. The radiologic findings and pre-operative diagnosis were more in favor of malignant neoplasma with tumor rupture. So the differential diagnosis is very difficult, whereeas, the possibility of IPT should be kept in mind in order to avoid unnecessary radical treatment, leading to an increase in the risk of morbidity and mortlity.

並列關鍵字

inflammatory pseudotumor ； liver