Hepatic reactive lymphoid hyperplasia-associated primary biliary cholangitis masquerading as a neoplastic liver lesion

被引:2
|
作者
Sim, Kwang Kiat [1 ]
Fernando, Tarini [2 ]
Tarquinio, Lorenzo [3 ]
Navadgi, Suresh [4 ]
机构
[1] Fiona Stanley Hosp, Gen Surg, Murdoch, WA, Australia
[2] Australian Clin Labs, Anat Pathol, Clayton, Vic, Australia
[3] Univ Notre Dame Australia, Sch Med, Fremantle, WA, Australia
[4] Royal Perth Hosp, Upper GI HPB Surg, Perth, WA, Australia
关键词
hepatic cancer; liver disease; gastrointestinal surgery; PSEUDOLYMPHOMA; CIRRHOSIS; LYMPHADENOPATHY; FEATURES;
D O I
10.1136/bcr-2023-254963
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hepatic reactive lymphoid hyperplasia is an uncommon benign condition, often found incidentally as a solitary liver lesion. The chronic inflammatory reaction associated with autoimmune conditions and malignancies has been postulated as a possible aetiology. The diagnosis is challenging as it often mimics various malignancies radiologically and histologically, hence the diagnosis being made only after surgical resection. Lymphadenopathy is common with primary biliary cholangitis, though rarely reported with reactive lymphoid hyperplasia. We report a case of hepatic reactive lymphoid hyperplasia associated with portacaval lymphadenopathy in a patient with primary biliary cholangitis, diagnosed after surgical resection. We propose lesional biopsy be considered in patients with primary biliary cholangitis found to have a solitary lesion with supporting low-risk clinical and radiological features.
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页数:4
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