MULTIFOCAL INFLAMMATORY PSEUDOTUMOUR OF LIVER (IPT) MIMICING METASTASIS -IMPORTANCE OF BIOPSY FOR SPACE OCCUPYING LESIONS IN LIVER
Abstract
Multifocal inflammatory pseudotumour of
liver(IPT) is an uncommon tumor of liver.
Exact etio-pathogenesis of this entity is
yet to be elucidated. It can mimic clinically
and radiologically with metastasis,
hepatocellular carcinoma or hepatobiliary
tuberculosis. It can even present as pyrexia
of unknown origin. A 48 year old
gentleman presented with fever and
weight loss. He had multiple space occupying
lesions in the liver. Ultrasound
guided liver biopsy was suggestive of inflammatory
pseudotumour of liver. He
was treated conservatively. In present
case diagnosis of liver IPT was carried
out by fine needle liver biopsy. Indeed
we believe that if clinical manifestations,
imaging studies, level of tumour markers
and results of histopathology specimens
as obtained by fine needle biopsy are
taken into account, accurate diagnosis of
liver IPT can be made and surgery can
be avoided.
Keyword :multifocal pseudotumour of
liver, fine needle biopsy, fever of unknown
origin, India
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