Clinical features, image findings, and prognosis of inflammatory pseudotumor of the liver

a multicenter experience of 45 cases.

Jun Young Park, Moon Seok Choi, Young Suk Lim, Jang Won Park, Seungup Kim, Yang Won Min, Geum Youn Gwak, Yong Han Paik, Joon Hyoek Lee, Kwang Cheol Koh, Seung Woon Paik, Byung Chul Yoo

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Inflammatory pseudotumor (IPT) of the liver is a rare disease characterized by chronic infiltration of inflammatory cells. However, the clinical characteristics and outcomes of IPT remain uncertain. Clinical features, image findings, and outcomes of 55 patients with histologically proven IPT were evaluated. They consisted of 26 men and 19 women with median age of 65 years. Serum carcinoembryonal antigen and carbohydrate antigen 19-9 levels were normal in 42 patients (93.3%). Enhanced CT scans indicated poorly defined peripheral enhancement (82.5%) at the arterial phase and poorly defined hyperattenuating lesions with internal hypoattenuating areas at the equilibrium phase (77.0%). Gadolinium-enhancement MRI revealed poorly defined peripheral rim-like enhancement (77.8%). Ten patients underwent surgical resection and 35 were treated conservatively with or without antibiotics. No recurrence was noted after surgical resection during follow-up (1 to 48 months). In all patients who received conservative treatment, complete resolution or size reduction was noted during follow-up (1 to 192 months). CT and MRI provide clues to the diagnosis of IPT in patients with liver masses and normal tumor markers. However, due to the lack of pathognomonic findings, the clinician's suspicion and histological diagnosis are necessary to make an accurate diagnosis of IPT.

Original languageEnglish
Pages (from-to)58-63
Number of pages6
JournalGut and liver
Volume8
Issue number1
DOIs
Publication statusPublished - 2014 Jan 1

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Plasma Cell Granuloma
Liver
Antigens
Gadolinium
Tumor Biomarkers
Rare Diseases
Carbohydrates
Anti-Bacterial Agents
Recurrence
Serum

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

Cite this

Park, Jun Young ; Choi, Moon Seok ; Lim, Young Suk ; Park, Jang Won ; Kim, Seungup ; Min, Yang Won ; Gwak, Geum Youn ; Paik, Yong Han ; Lee, Joon Hyoek ; Koh, Kwang Cheol ; Paik, Seung Woon ; Yoo, Byung Chul. / Clinical features, image findings, and prognosis of inflammatory pseudotumor of the liver : a multicenter experience of 45 cases. In: Gut and liver. 2014 ; Vol. 8, No. 1. pp. 58-63.
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abstract = "Inflammatory pseudotumor (IPT) of the liver is a rare disease characterized by chronic infiltration of inflammatory cells. However, the clinical characteristics and outcomes of IPT remain uncertain. Clinical features, image findings, and outcomes of 55 patients with histologically proven IPT were evaluated. They consisted of 26 men and 19 women with median age of 65 years. Serum carcinoembryonal antigen and carbohydrate antigen 19-9 levels were normal in 42 patients (93.3{\%}). Enhanced CT scans indicated poorly defined peripheral enhancement (82.5{\%}) at the arterial phase and poorly defined hyperattenuating lesions with internal hypoattenuating areas at the equilibrium phase (77.0{\%}). Gadolinium-enhancement MRI revealed poorly defined peripheral rim-like enhancement (77.8{\%}). Ten patients underwent surgical resection and 35 were treated conservatively with or without antibiotics. No recurrence was noted after surgical resection during follow-up (1 to 48 months). In all patients who received conservative treatment, complete resolution or size reduction was noted during follow-up (1 to 192 months). CT and MRI provide clues to the diagnosis of IPT in patients with liver masses and normal tumor markers. However, due to the lack of pathognomonic findings, the clinician's suspicion and histological diagnosis are necessary to make an accurate diagnosis of IPT.",
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Park, JY, Choi, MS, Lim, YS, Park, JW, Kim, S, Min, YW, Gwak, GY, Paik, YH, Lee, JH, Koh, KC, Paik, SW & Yoo, BC 2014, 'Clinical features, image findings, and prognosis of inflammatory pseudotumor of the liver: a multicenter experience of 45 cases.', Gut and liver, vol. 8, no. 1, pp. 58-63. https://doi.org/10.5009/gnl.2014.8.1.58

Clinical features, image findings, and prognosis of inflammatory pseudotumor of the liver : a multicenter experience of 45 cases. / Park, Jun Young; Choi, Moon Seok; Lim, Young Suk; Park, Jang Won; Kim, Seungup; Min, Yang Won; Gwak, Geum Youn; Paik, Yong Han; Lee, Joon Hyoek; Koh, Kwang Cheol; Paik, Seung Woon; Yoo, Byung Chul.

In: Gut and liver, Vol. 8, No. 1, 01.01.2014, p. 58-63.

Research output: Contribution to journalArticle

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