Erschienen in:
01.03.2007
Intrahepatic Cholangiocarcinoma Mimicking Hepatic Inflammatory Pseudotumor
verfasst von:
Kumiko Kitajima, Hiroaki Shiba, Takuya Nojiri, Tadashi Uwagawa, Yuichi Ishida, Noriatsu Ichiba, Katsuhiko Yanaga
Erschienen in:
Journal of Gastrointestinal Surgery
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Ausgabe 3/2007
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Abstract
A 50-year-old male with hepatitis B was referred for a small intrahepatic nodule. Magnetic resonance images raised strong suspicion of a benign lesion, such as an inflammatory pseudotumor, while the other radiological studies were equivocal. Furthermore, the high-intensity image on diffusion magnified-weighted imaging with a low B value strongly suggested a benign tumor. In spite of the absence of typical clinical or radiological findings, needle biopsy revealed an intrahepatic cholangiocarcinoma (ICC). The diagnosis of peripheral ICC rich in fibrous tissue seems to require needle biopsy for pathological examination with immunohistochemical staining because it frequently mimics other diseases, including benign tumors.