[Hepatic inflammatory pseudotumor regressing with antibiotic therapy].
BACKGROUND
Inflammatory hepatic pseudo-tumors are rare, non-neoplastic lesions, and their diagnosis is usually made on hepatectomy samples.


METHODS
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.


CONCLUSIONS
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.
Casassus-Builhé
D
D
Service des maladies digestives et tropicales, Hôpital d'instruction des armées Robert-Picqué, Route de Toulouse, 33998 Bordeaux Armées. d.kaza@wanadoo.fr
Le Bougeant
P
P
Carmois
T
T
Terrier
F
F
Chauveau
E
E
Armand
J P
JP
Oddes
B
B
D000368:Aged; D001706:Biopsy; D002939:Ciprofloxacin / Q000627:therapeutic use*; D002969:Clavulanic Acids / Q000627:therapeutic use*; D004359:Drug Therapy, Combination / Q000627:therapeutic use*; D005260:Female; D006104:Granuloma, Plasma Cell / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D008099:Liver / Q000473:pathology; D008107:Liver Diseases / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D013982:Ticarcillin / Q000627:therapeutic use*; D016896:Treatment Outcome
D002969:Clavulanic Acids; D002939:Ciprofloxacin; C043215:ticarcillin-clavulanic acid; D013982:Ticarcillin