肝ｉｎｆｌａｍｍａｔｏｒｙ　ｐｓｅｕｄｏｔｕｍｏｒの１例

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  • A case of inflammatory pseudotumor resected.

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A 54-year-old woman was admitted to the hospital for close examination of hepatic tumors. There were previous histories of undergoing a modified radical mastectomy for left breaset cancer in February 1993 and a laparoscopic cholecystectomy for gallbladder stone in July 1994. Thereafter, in January 1997, a CT scan visualized hepatic tumors in S6 and S7 which tended to increase in size, leading to the present admission. On admission, the patient was asymptomatic and blood chemical analysis revealed normal findings. CT scan and magnetic resonance imaging revealed ring like enhancement of the tumors and metastatic hepatic cancer was suspected. So a posterior segmentectomy of liver was performed. Histopathological diagnosis was inflammatory pseudotumor (IPT). On a bacteriological study, Klebsiella oxytoca was isolated.<br> The origin of hepatic IPT is still obscure. We herein present the case with some bibliographical comments from various points of view including imaging diagnosis.

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