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Inflammatory Myofibroblastic Tumor: a Possible Complication of Percutaneous Radiofrequency Ablation for Hepatocellular Carcinoma
Authors:Su Hyun Lee   Se Hyung Kim   Jae Young Lee   Soo Jin Kim   Min A Kim   Joon Koo Han     Byung Ihn Choi
Affiliation:1Department of Radiology, Seoul National University Hospital, Korea.;2Institute of Radiation Medicine, Seoul National University Hospital, Korea.;3Department of Pathology, Seoul National University Hospital, Korea.
Abstract:An inflammatory myofibroblastic tumor (IMT) is an uncommon, benign lesion characterized by the mesenchymal proliferation and infiltration of inflammatory cells composed primarily of lymphocytes and plasma cells. A percutaneous radiofrequency ablation (RFA) is an effective and safe therapeutic modality used for the management of liver malignancies. Here we report, for the first time, a case of IMT as a complication of RFA for hepatocellular carcinoma in a 61-year-old man with a Child''s class A hepatitis B-related liver cirrhosis. Gastrohepatic fistula formation was pathologically proven and associated with the RFA. Such a longstanding inflammation of the fistula might have been a possible cause of the development of IMT in this case.
Keywords:Inflammatory myofibroblastic tumor   Radiofrequency ablation   complication
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