[A case of hepatic eosinophilic granuloma, which needs distinction with metastatic liver cancer].
A 68-year-old man was referred to our hospital because of eosinophilia in peripheral blood and pancreatic tumor on abdominal US. He was accustomed to eating the raw flesh of wild boar and keeping wild boar, and under medical treatment for Diabetes. Pancreatic tumor was diagnosed to the pancreatic ductal cancer by the imaging examination and endoscopic transpapillary brushing cytology for pancreatic duct. The diagnosis of hepatic eosinophilic granuloma was done by aspiration biopsy for hepatic multiple small nodules. Because of the strong positive finding for nematose in the assay of multi dot-ELISA for parasite, hepatic eosinophilic granuloma caused by visceral larva migrans was accidentally complicated by pancreatic cancer, and operation for the pancreatic cancer was done. To bear this disease in mind and to research his life history, is important to diagnose hepatic multiple nodules with eosinophilia.
Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine.
Fumihiko
F
Saito
Yoshinobu
Y
Okabe
Hideya
H
Suga
Toru
T
Watanabe
Teruko
T
Arinaga
Yoshiki
Y
Naito
Shinji
S
Uchida
Toru
T
Hisaka
Atsushi
A
Toyonaga
Masamichi
M
Kojiro
Hisafumi
H
Kinoshita
Osamu
O
Tsuruta
Michio
M
Sata
D000368:Aged; D003937:Diagnosis, Differential; D004803:Eosinophilic Granuloma / Q000175:diagnosis*; D006801:Humans; D007815:Larva Migrans / Q000150:complications; D008107:Liver Diseases / Q000175:diagnosis*; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000556:secondary*; D008297:Male; D010190:Pancreatic Neoplasms / Q000150:complications