Pseudolymphoma of the liver: Report of a case and review of the literature

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• 作者：Cheng-Ta Yang^a ; ^b ; Kao-Lang Liu^a ; ^b ; Ming-Chieh Lin^c ; ^d ; Ray-Hwang Yuan^e ; ^f ; ^{d83409009@ntu.edu.tw}
• 关键词：computed tomography ; liver ; magnetic resonance imaging ; pseudolymphoma ; reactive lymphoid hyperplasia
• 刊名：Asian Journal of Surgery
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：40
• 期：1
• 页码：74-80
• 全文大小：2766 K
• 卷排序：40

文摘

We report a case of pseudolymphoma of the liver in a 49-year-old woman without an underlying disease except for liver hemangioma. A 20-mm nodule was incidentally found in segment 2 of the liver by abdominal ultrasonography during a regular follow-up of the hepatic hemangioma. After a series of radiological examinations, a left lateral sectionectomy was performed because malignant hepatic tumor could not be excluded. The patient was discharged uneventfully 7 days after the operation. The pathology examination revealed a pseudolymphoma. No recurrence of the tumor was found 5½ years after the operation. To the best of our knowledge, only 46 cases of pseudolymphoma of the liver have been reported to date. A review of the literature showed that pseudolymphomas occur predominantly in females (89.4%), usually occur as a single tumor (80.4%), are no more than 20 mm in size (90.6%), and are frequently associated with either autoimmune disease or chronic liver disease. Because an accurate diagnosis is difficult to establish, vigilant follow-up is indicated, and surgical intervention is the choice of treatment once the suspiciousness of malignancy has been raised.