4.2 Article

Inflammatory Pseudo-tumor of the Liver Accompanied by Eosinophilia

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INTERNAL MEDICINE
卷 60, 期 13, 页码 2075-2079

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JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.6303-20

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inflammatory pseudo-tumor; cosinophilia; liver dysfunction

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A 28-year-old woman presented with liver dysfunction and neck pain, which led to the discovery of a mass lesion near the hepatic hilus. Biopsy confirmed the diagnosis of an inflammatory pseudo-tumor. Treatment with steroids resulted in improved symptoms and disappearance of the tumor.
A 28-year-old woman was referred to our hospital for liver dysfunction and neck pain. Blood tests revealed elevated liver enzymes and eosinophilia. Ultrasonography, computed tomography, and magnetic resonance imaging showed a mass lesion near the hepatic hilus. The tumor was considered to be an inflammatory pseudo-tumor or malignancy. A liver-mass biopsy was performed and led to a diagnosis of inflammatory pseudo-tumor. In the present case, a markedly elevated eosinophil count was a characteristic clinical feature, and the patient underwent steroid therapy. Treatment resulted in a reduced eosinophil count, improved neck symptoms, and disappearance of the inflammatory pseudo-tumor.

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