title: Necrotic hepatocellular carcinoma occurring within an inflammatory pseudotumor-like nodule.
abstract: Hepatocellular carcinoma (HCC) and inflammatory pseudotumor of the liver (IPL) are often difficult to differentiate before surgery. To date, colocalization of IPL and HCC has not been reported. We experienced a case of necrotic HCC surrounded by IPL-like tissue. The raised levels of alpha-fetoprotein and PIVKA-II declined to within the normal ranges after resection of the tumor. The IPL-like nodule most likely developed as a process of an inflammatory reaction such as abscess formation after the spontaneous destruction of the HCC. Our case is a warning that the presence of a 'pseudotumor' does not rule out the possible simultaneous presence of carcinoma.
authors: Geshi Hospital, Japan. yuutarot@yahoo.co.jp
authors: Yoshito
authors: Y
authors: Takahashi
authors: Jun
authors: J
authors: Iwata
authors: Yasuo
authors: Y
authors: Shima
authors: Tatsuaki
authors: T
authors: Sumiyoshi
authors: Akihito
authors: A
authors: Kozuki
authors: Ayako
authors: A
authors: Ishibashi
authors: Toshihiro
authors: T
authors: Takao
authors: Michio
authors: M
authors: Yamamoto
authors: Michiya
authors: M
authors: Yamamoto
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000175:diagnosis* / Q000473:pathology*; D006104:Granuloma, Plasma Cell / Q000150:complications / Q000175:diagnosis* / Q000473:pathology*; D006801:Humans; D007249:Inflammation / Q000150:complications / Q000175:diagnosis / Q000473:pathology; D008113:Liver Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009336:Necrosis