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Primary Hepatic Lymphoma Is Difficult to Discriminate from a Liver Abscess

An 82-year-old woman presented with a high-grade fever of 40°C and was admitted to our institution for intensive examination and treatment. Noncontrast abdominal computed tomography (CT) revealed low-density masses at segments 5 and 8, suggestive of a liver abscess. On further examination, a contras...

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Autores principales: Takeuchi, Nobuhiro, Naba, Kazuyoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3970471/
https://www.ncbi.nlm.nih.gov/pubmed/24716010
http://dx.doi.org/10.1155/2014/925307
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author Takeuchi, Nobuhiro
Naba, Kazuyoshi
author_facet Takeuchi, Nobuhiro
Naba, Kazuyoshi
author_sort Takeuchi, Nobuhiro
collection PubMed
description An 82-year-old woman presented with a high-grade fever of 40°C and was admitted to our institution for intensive examination and treatment. Noncontrast abdominal computed tomography (CT) revealed low-density masses at segments 5 and 8, suggestive of a liver abscess. On further examination, a contrast-enhanced abdominal CT showed a 30 × 30 mm mass with an enhanced margin at segment 8 in the arterial phase; the contrast agents were washed out in the venous phase. In addition, a 63 × 52 mm mass with a density lower than that of liver parenchyma was observed at segment 8 in the portal phase. On the basis of these findings, either a liver abscess or hepatocellular carcinoma was suspected. To confirm the diagnosis, a fine needle biopsy was scheduled. Histopathological analysis of the biopsied specimens confirmed the diagnosis of diffuse large B-cell lymphoma. Chemotherapy was not indicated owing to the patient's age and poor performance status; thus, best supportive care was planned. On day 22 after admission, the patient died of pneumonia. We experienced a case of PHL that was difficult to discriminate from a liver abscess. Imaging alone is insufficient to diagnose PHL; therefore, fine needle biopsy is recommended for a definitive diagnosis.
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spelling pubmed-39704712014-04-08 Primary Hepatic Lymphoma Is Difficult to Discriminate from a Liver Abscess Takeuchi, Nobuhiro Naba, Kazuyoshi Case Rep Gastrointest Med Case Report An 82-year-old woman presented with a high-grade fever of 40°C and was admitted to our institution for intensive examination and treatment. Noncontrast abdominal computed tomography (CT) revealed low-density masses at segments 5 and 8, suggestive of a liver abscess. On further examination, a contrast-enhanced abdominal CT showed a 30 × 30 mm mass with an enhanced margin at segment 8 in the arterial phase; the contrast agents were washed out in the venous phase. In addition, a 63 × 52 mm mass with a density lower than that of liver parenchyma was observed at segment 8 in the portal phase. On the basis of these findings, either a liver abscess or hepatocellular carcinoma was suspected. To confirm the diagnosis, a fine needle biopsy was scheduled. Histopathological analysis of the biopsied specimens confirmed the diagnosis of diffuse large B-cell lymphoma. Chemotherapy was not indicated owing to the patient's age and poor performance status; thus, best supportive care was planned. On day 22 after admission, the patient died of pneumonia. We experienced a case of PHL that was difficult to discriminate from a liver abscess. Imaging alone is insufficient to diagnose PHL; therefore, fine needle biopsy is recommended for a definitive diagnosis. Hindawi Publishing Corporation 2014 2014-03-16 /pmc/articles/PMC3970471/ /pubmed/24716010 http://dx.doi.org/10.1155/2014/925307 Text en Copyright © 2014 N. Takeuchi and K. Naba. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Takeuchi, Nobuhiro
Naba, Kazuyoshi
Primary Hepatic Lymphoma Is Difficult to Discriminate from a Liver Abscess
title Primary Hepatic Lymphoma Is Difficult to Discriminate from a Liver Abscess
title_full Primary Hepatic Lymphoma Is Difficult to Discriminate from a Liver Abscess
title_fullStr Primary Hepatic Lymphoma Is Difficult to Discriminate from a Liver Abscess
title_full_unstemmed Primary Hepatic Lymphoma Is Difficult to Discriminate from a Liver Abscess
title_short Primary Hepatic Lymphoma Is Difficult to Discriminate from a Liver Abscess
title_sort primary hepatic lymphoma is difficult to discriminate from a liver abscess
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3970471/
https://www.ncbi.nlm.nih.gov/pubmed/24716010
http://dx.doi.org/10.1155/2014/925307
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