The Japanese Journal of Gastroenterological Surgery
Online ISSN : 1348-9372
Print ISSN : 0386-9768
ISSN-L : 0386-9768
A Case of Fascioliasis Diagnosed as Preoperative Metastatic Liver Tumor Successfully Treated with Microwave Coagulation Therapy
Noriyuki HiraharaSinzi IwasakiHiroaki WatanabeYoshinori Nio
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2001 Volume 34 Issue 11 Pages 1620-1624

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Abstract
A 46-year-old woman was hospitalized for an elastic hard and ill-defined tumor about 2 cm in diameter palpated in the C area of the left breast. The leukocyte count was normal, but there was a slight increase in eosinophils of 17% and liver dysfunction was recognized. Ultrasonography showed a 3. 5×2. 5cm low echo-genecitic tumor in the right liver lobe and plain computed tomography (CT) showed a low density area. Feridex magnetic resonance imaging (MRI) showed high signal intensity. Angiography revealed an unclear tumor stain, and CT during arterialportography (CTAP) showed portal blood flow to be decreased. Mastec-tomy and microwave coagulationtherapy (MCT) were conducted under a diagnosis of left breast cancer and metastatic liver cancer. Parasitic infection of the liver was suspected due to the invasion of advanced eosino-phils in the liver biopsy specimen and fascioliasis diagnosed from the serum immunological test. Fascioliasis is usually treated by administering Praziquantel. Postoperative normalized liver function and eosinophils and no recurrence in the 2 years indicated that cure was effected completely by MCT.
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この記事はクリエイティブ・コモンズ [表示 - 非営利 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc/4.0/deed.ja
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