Cholangiocarcinoma with a paraneoplastic leukemoid reaction mimicking a pyogenic liver abscess

Ham, Hyoju; Kim, Hee Yeon; Seo, Kyung Jin; Lee, Su Lim; Kim, Chang Wook

doi:10.3904/kjim.2015.30.1.110

Cited by 6 publications

(6 citation statements)

References 5 publications

(6 reference statements)

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“…G-CSF can also be produced by cancer cells, which upregulates the progression of the tumor [13]. Rarely, as presented by this patient cholangiocarcinoma can present with paraneoplastic leukemoid reaction (PLR) [14].…”

Section: Discussionmentioning

confidence: 82%

Intrahepatic Cholangiocarcinoma Associated with High Procalcitonin, Hypercalcemia, Polycythemia and Leukocytosis

Meegada¹,

Eisen²,

Coons³

et al. 2020

Cureus

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Section: Discussionmentioning

confidence: 82%

Intrahepatic Cholangiocarcinoma Associated with High Procalcitonin, Hypercalcemia, Polycythemia and Leukocytosis

Meegada¹,

Eisen²,

Coons³

et al. 2020

Cureus

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“…In our case, even if the clinical and laboratory findings suggest a liver abscess, an abscess‐mimicking lesion has been considered, but it was unresponsive to antibiotics, thus favoring a diagnosis of malignancy. Only few cases were reported in the literature 1,12,13 . ICC presenting with pyrexia and leukocytosis has poor outcome.…”

Section: Discussionmentioning

confidence: 99%

Intrahepatic cholangiocarcinoma mimicking a liver abscess

Yacoub

Hassine

Boukriba

et al. 2020

Clinical Case Reports

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“…Such mimicry led to, in many cases, incorrect diagnosis and treatment including unnecessary surgery [5][6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

“…Pseudo-capsule appearance of HCC on portal venous phase can mimic unilocular abscess [14]. Cystic HCC (unilocular and multifocal), although rare, was described previously in the literature in non-cirrhotic patients [8,15]. Cystic hepatic lesions in the setting of pyrexia and leukocytosis should always raise suspicion for abscess [5].…”

Section: Discussionmentioning

confidence: 99%

Pyogenic Liver Abscess Mimicking Liver Neoplasm on Computed Tomography Scan in a Patient With Elevated CA 19-9

Elsheshtawy

Thet

2015

J Med Cases

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Pyogenic liver abscess (PLA) presentation on computer tomography (CT) scan depends mainly on the degree of maturation and internal contents, but rarely presents similarly to primary liver cancer (PLC) or hepatic metastasis. However, distinguishing PLA from PLC can be a challenge, and several cases were reported previously where tumor markers helped in this differentiation. We present a rare case of PLA with radiological findings similar to PLC or liver metastasis on CT scan in a patient with elevated tumor marker, carbohydrate antigen (CA) 19-9. This case illustrates that a combination of risk factors and clinical findings including localizing symptoms, fever, leukocytosis and tumor markers has to accompany image findings to reach an appropriate differentiation in a query case of hepatic lesion.

show abstract

Cholangiocarcinoma with a paraneoplastic leukemoid reaction mimicking a pyogenic liver abscess

Cited by 6 publications

References 5 publications

Intrahepatic Cholangiocarcinoma Associated with High Procalcitonin, Hypercalcemia, Polycythemia and Leukocytosis

Intrahepatic Cholangiocarcinoma Associated with High Procalcitonin, Hypercalcemia, Polycythemia and Leukocytosis

Intrahepatic cholangiocarcinoma mimicking a liver abscess

Pyogenic Liver Abscess Mimicking Liver Neoplasm on Computed Tomography Scan in a Patient With Elevated CA 19-9

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