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Inflammatory pseudotumour of liver--a case report
A Gosavi1, S Agashe, M Phansopkar
1Department of Pathology, Government Medical College, Miraj.
Indian Journal of Pathology & Microbiology
|January 1, 1997
Summary
A rare inflammatory pseudotumor of the liver in a child presented as obstructive jaundice, mimicking malignancy. Surgical resection confirmed the benign, inflammatory nature of this rare liver mass, highlighting the need for awareness.
Area of Science:
- Pediatric Hepatology
- Surgical Pathology
- Pediatric Oncology
Background:
- Inflammatory pseudotumor of the liver is a rare, benign entity that can mimic malignant liver tumors.
- Accurate diagnosis is crucial for appropriate management in pediatric patients.
Observation:
- A child presented with obstructive jaundice, clinically and radiologically suspected to have a malignant liver tumor.
- Imaging modalities suggested a malignant hepatic neoplasm.
Findings:
- Histological examination of the resected left hepatic lobe mass revealed an inflammatory pseudotumor.
- The lesion comprised lymphocytes, plasma cells, fibroblasts, vasculitis, and hyaline fibrosis.
- Adjacent liver tissue showed biliary cirrhosis and microabscesses.
Implications:
- This case underscores the importance of considering inflammatory pseudotumor in the differential diagnosis of pediatric liver masses, even with suspicious imaging.
- Awareness of this rare entity can prevent misdiagnosis and unnecessary aggressive treatment.
- Further research into the etiology and optimal management of pediatric hepatic inflammatory pseudotumors is warranted.