Cargando…
Reactive lymphoid hyperplasia of the liver mimicking hepatocellular carcinoma: a case report
Reactive lymphoid hyperplasia (RLH) of the liver is an extremely rare benign lesion, which is often misdiagnosed as a malignant liver tumour. We present the case of a 69-year-old man with an incidental liver tumour revealed on the ultrasonography of the kidney-urinary bladder system for benign prost...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8944704/ https://www.ncbi.nlm.nih.gov/pubmed/35350223 http://dx.doi.org/10.1093/jscr/rjac048 |
_version_ | 1784673786022330368 |
---|---|
author | Thienhiran, Anuparp Charoenpitakchai, Mongkon Hongjinda, Sermsak Fuengfoo, Pusit Burasakarn, Pipit |
author_facet | Thienhiran, Anuparp Charoenpitakchai, Mongkon Hongjinda, Sermsak Fuengfoo, Pusit Burasakarn, Pipit |
author_sort | Thienhiran, Anuparp |
collection | PubMed |
description | Reactive lymphoid hyperplasia (RLH) of the liver is an extremely rare benign lesion, which is often misdiagnosed as a malignant liver tumour. We present the case of a 69-year-old man with an incidental liver tumour revealed on the ultrasonography of the kidney-urinary bladder system for benign prostatic hyperplasia. Hepatocyte-specific contrast (gadoxetate disodium) magnetic resonance imaging revealed a round 6-mm lesion, which was hypointense on T1-weighted images, slightly hyperintense on T2-weighted images and highly intense on diffusion-weighted images. Other findings included arterial hyperintensity, venous and delayed hypointensity and a defect in liver segment 6. The patient was diagnosed with hepatocellular carcinoma; laparoscopic partial hepatectomy was performed. Intraoperatively, a 7-mm greyish white solid nodule was observed. In conclusion, it may be difficult to distinguish RLH from other malignant liver tumours. However, it should be considered as a differential diagnosis for small liver lesions in young, female patients without liver cirrhosis. |
format | Online Article Text |
id | pubmed-8944704 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-89447042022-03-28 Reactive lymphoid hyperplasia of the liver mimicking hepatocellular carcinoma: a case report Thienhiran, Anuparp Charoenpitakchai, Mongkon Hongjinda, Sermsak Fuengfoo, Pusit Burasakarn, Pipit J Surg Case Rep Case Report Reactive lymphoid hyperplasia (RLH) of the liver is an extremely rare benign lesion, which is often misdiagnosed as a malignant liver tumour. We present the case of a 69-year-old man with an incidental liver tumour revealed on the ultrasonography of the kidney-urinary bladder system for benign prostatic hyperplasia. Hepatocyte-specific contrast (gadoxetate disodium) magnetic resonance imaging revealed a round 6-mm lesion, which was hypointense on T1-weighted images, slightly hyperintense on T2-weighted images and highly intense on diffusion-weighted images. Other findings included arterial hyperintensity, venous and delayed hypointensity and a defect in liver segment 6. The patient was diagnosed with hepatocellular carcinoma; laparoscopic partial hepatectomy was performed. Intraoperatively, a 7-mm greyish white solid nodule was observed. In conclusion, it may be difficult to distinguish RLH from other malignant liver tumours. However, it should be considered as a differential diagnosis for small liver lesions in young, female patients without liver cirrhosis. Oxford University Press 2022-03-22 /pmc/articles/PMC8944704/ /pubmed/35350223 http://dx.doi.org/10.1093/jscr/rjac048 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Thienhiran, Anuparp Charoenpitakchai, Mongkon Hongjinda, Sermsak Fuengfoo, Pusit Burasakarn, Pipit Reactive lymphoid hyperplasia of the liver mimicking hepatocellular carcinoma: a case report |
title | Reactive lymphoid hyperplasia of the liver mimicking hepatocellular carcinoma: a case report |
title_full | Reactive lymphoid hyperplasia of the liver mimicking hepatocellular carcinoma: a case report |
title_fullStr | Reactive lymphoid hyperplasia of the liver mimicking hepatocellular carcinoma: a case report |
title_full_unstemmed | Reactive lymphoid hyperplasia of the liver mimicking hepatocellular carcinoma: a case report |
title_short | Reactive lymphoid hyperplasia of the liver mimicking hepatocellular carcinoma: a case report |
title_sort | reactive lymphoid hyperplasia of the liver mimicking hepatocellular carcinoma: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8944704/ https://www.ncbi.nlm.nih.gov/pubmed/35350223 http://dx.doi.org/10.1093/jscr/rjac048 |
work_keys_str_mv | AT thienhirananuparp reactivelymphoidhyperplasiaofthelivermimickinghepatocellularcarcinomaacasereport AT charoenpitakchaimongkon reactivelymphoidhyperplasiaofthelivermimickinghepatocellularcarcinomaacasereport AT hongjindasermsak reactivelymphoidhyperplasiaofthelivermimickinghepatocellularcarcinomaacasereport AT fuengfoopusit reactivelymphoidhyperplasiaofthelivermimickinghepatocellularcarcinomaacasereport AT burasakarnpipit reactivelymphoidhyperplasiaofthelivermimickinghepatocellularcarcinomaacasereport |