[35-year old male with fever and round mass of the liver].
A 35 year old male suffered from fever till 39 degrees C and malaise since 6 months; infectious or neoplastic causes have been ruled out. Ultrasonography revealed a hypoechoic lesion of 75 mm diameter in the liver. The histologic examination of the needle biopsy showed an inflammatory process, and the final diagnosis was inflammatory pseudotumor. EBV specific LMP-1 protein was detected within the tumor immunohistochemically. A liver segment resection was performed, and the patient has been well and without fever since then for 18 months. Inflammatory pseudotumor is a rare but important differential diagnosis in cases of hypoechoic liver lesions associated by fever, if there is no abscess or malignancy. The diagnosis must be confirmed histologically, because imaging techniques cannot reliably classify the lesion.
Fritzsch
J
J
Abteilung für Innere Medizin, HELIOS Klinik Zwenkau. aj.fritzsch@gmx.de
Richter
M
M
Edelmann
C
C
Lange
R
R
Tannapfel
A
A
D048868:Adaptor Proteins, Signal Transducing; D000328:Adult; D002352:Carrier Proteins / Q000032:analysis*; D003598:Cytoskeletal Proteins; D003937:Diagnosis, Differential; D005335:Fever of Unknown Origin / Q000175:diagnosis* / Q000209:etiology; D006104:Granuloma, Plasma Cell / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D047908:Intracellular Signaling Peptides and Proteins; D060588:LIM Domain Proteins; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology; D008107:Liver Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D008297:Male; D014463:Ultrasonography
D048868:Adaptor Proteins, Signal Transducing; D002352:Carrier Proteins; D003598:Cytoskeletal Proteins; D047908:Intracellular Signaling Peptides and Proteins; D060588:LIM Domain Proteins; C484380:PDLIM7 protein, human