首页|Focal peliosis hepatis in a colon cancer patient resembling metastatic liver tumor

Focal peliosis hepatis in a colon cancer patient resembling metastatic liver tumor

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Peliosis hepatis (PH) is a rare benign condition characterized by the presence of multiple,randomly distributed,blood filled cystic areas of variable size within the liver parenchyma.PH is difficult to recognize and may be mistaken for neoplasm,metastases or multiple abscesses.A 75-year-old female with a previous history of colon cancer was admitted when a liver mass in the right liver lobe was found 11 mo after surgery during the follow-up period.Computed tomography and magnetic resonance imaging scan of the abdomen were performed.The initial possible diagnosis was metastatic hepatocellular carcinoma.The patient underwent excision of the hepatic segment where the nodule was located.The pathological diagnosis of the surgical specimen was PH.PH should be considered in the differential diagnosis of new liver lesions in patients whose clinical settings do not clearly favor metastasization.Clinicians and radiologists must recognize these lesions to minimize the probability of misdiagnosis and inappropriate treatment.

Differential diagnosisMetastatic liver tumorPeliosis hepatis

Wu-Jun Xiong、Li-Juan Hu、Yi-Cheng Jian、Yi He、Wei Zhou、Xin-Lai Guo、Ya-Xin Zheng

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Department of Gastroenterology, Shanghai East Hospital Affiliated to Tongji University, Shanghai 200120, China

Department of Surgery, Shanghai East Hospital Affiliated to Tongji University, Shanghai 200120, China

2012

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子:1.001
ISSN:1007-9327
年,卷(期):2012.18(41)
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