Eosinophilic Granuloma of the Liver Mimicking Metastatic Liver Tumor

Intern Med. 2022 May 15;61(10):1511-1517. doi: 10.2169/internalmedicine.8438-21. Epub 2021 Oct 19.

Abstract

We herein report a case of coagulation necrosis with granulation and eosinophilic infiltration of the liver. A 37-year-old woman was diagnosed with a new mass lesion in the liver 1 month after breast cancer surgery and admitted for a further examination. Because the tumor occurred immediately after surgery, it was considered essential to determine whether or not it was a metastatic liver tumor from breast cancer. A percutaneous liver tumor biopsy revealed eosinophilic granuloma of the liver, which is considered to have a high possibility of visceral larva migrans with suspected gnathostomiasis infection. A detailed medical history and histological diagnosis are important for making a differential diagnosis.

Keywords: eosinophilic granuloma of the liver; gnathostomiasis infection; liver tumor; percutaneous biopsy; visceral larva migrans.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Eosinophilic Granuloma* / diagnosis
  • Eosinophilic Granuloma* / pathology
  • Eosinophilic Granuloma* / surgery
  • Female
  • Humans
  • Larva Migrans, Visceral* / diagnosis
  • Liver Neoplasms* / diagnosis