@article{oai:jichi-ir.repo.nii.ac.jp:00000682,
 author = {Kuwahara, Yuichi and Kiyozaki, Kouichi and Soda, Kuniyasu and Konishi, Fumio},
 journal = {自治医科大学紀要, Jichi Medical University Journal},
 month = {Dec},
 note = {We report on a case of hepatic inflammatory pseudotumor （IPT） with
gastric cancer.
A 65-year-old man complained of upper abdominal pain, and double cancers
of the stomach were detected by gastric endoscope, one of which was advanced
and the other of which was early gastric cancer. A computed tomography （CT）
scan revealed a solitary liver tumor, measuring 1.7 cm, located in the segment Ⅲ.
The CT scan also showed a ring enhancement of the tumor in the early phase and
showed nonuniform late enhancement in the center of the tumor during the intermediate
and late phases. We performed a dynamic CTHA, the center ’s staining became rich,
and the rim firmly maintained its enhancement as time advanced.
Moreover at the CTAP, the tumor showed a perfusion defect.
The serum carcinoembryonic antigen（ CEA） and carbohydrate antigen 19-9（ CA19-9）
levels were normal, as was α-fetoprotein （AFP）, which suggested that the liver tumor
was IPT. However, we were unable to rule out a metastatic liver tumor. We performed
a total gastrectomy and wedge resection of the liver. ITP of the liver was confirmed
by the histopathological findings of the resected specimens, which showed a multifocal
invasion with inflammatory cells in the peripheral zone and rich fibrosis in the central
zone of the tumor.
We assume that the part of intense fibrous tissue part showed a ring enhancement
and delayed enhancement.},
 pages = {123--129},
 title = {Inflammatory Pseudotumor of the Liver with Gastric Cancer : Report of a Case.},
 volume = {30},
 year = {2002}
}