MULTIFOCAL INFLAMMATORY PSEUDOTUMOUR OF LIVER (IPT) MIMICING METASTASIS -IMPORTANCE OF BIOPSY FOR SPACE OCCUPYING LESIONS IN LIVER

Multifocal inflammatory pseudotumour of liver(IPT) is an uncommon tumor of liver. Exact etio-pathogenesis of this entity is yet to be elucidated. It can mimic clinically and radiologically with metastasis, hepatocellular carcinoma or hepatobiliary tuberculosis. It can even present as pyrexia of unknown origin. A 48 year old gentleman presented with fever and weight loss. He had multiple space occupying lesions in the liver. Ultrasound guided liver biopsy was suggestive of inflammatory pseudotumour of liver. He was treated conservatively. In present case diagnosis of liver IPT was carried out by fine needle liver biopsy. Indeed we believe that if clinical manifestations, imaging studies, level of tumour markers and results of histopathology specimens as obtained by fine needle biopsy are taken into account, accurate diagnosis of liver IPT can be made and surgery can be avoided.