[Hepatic inflammatory pseudotumor regressing with antibiotic therapy].

Abstract

INTRODUCTION:

Inflammatory hepatic pseudo-tumors are rare, non-neoplastic lesions, and their diagnosis is usually made on hepatectomy samples.

OBSERVATION:

The general health of a 77 year-old patient was suddenly altered and clinical examination (and scan) revealed a hepatic tumor. Diagnosis of inflammatory hepatic pseudo-tumor was evoked by analysis of a biopsy. In view of the age and the general state of the patient we chose prolonged antibiotic therapy rather than hepatic surgery. Nine months later, the tumor had regressed.

COMMENTS:

Because they are rare (100 cases described), hepatic pseudo-tumors raise two questions: can diagnosis be made simply by biopsy or should one always analyze the complete sample and, if hepatectomy is contraindicated, is non-surgical treatment effective? The progression of our patient permits us to reply positively to both questions.

• Authors: D Casassus-Builhé, P Le Bougeant, T Carmois, F Terrier, E Chauveau, J P Armand, B Oddes
• Journal: Presse medicale (Paris, France : 1983) (Presse Med) Vol. 31 Issue 18 Pg. 838-40 (May 25 2002) ISSN: 0755-4982 [Print] France
• Vernacular Title: Pseudo-tumeur inflammatoire hépatique régressant sous antibiothérapie.
• PMID: 12148453 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Clavulanic Acids
• Ciprofloxacin
• ticarcillin-clavulanic acid
• Ticarcillin

Topics

• Aged
• Biopsy
• Ciprofloxacin (therapeutic use)
• Clavulanic Acids (therapeutic use)
• Drug Therapy, Combination (therapeutic use)
• Female
• Granuloma, Plasma Cell (diagnosis, drug therapy, pathology)
• Humans
• Liver (pathology)
• Liver Diseases (diagnosis, drug therapy, pathology)
• Magnetic Resonance Imaging
• Ticarcillin (therapeutic use)
• Treatment Outcome