Pathologic Findings in a Case of Pseudolipoma of the Liver, and its Differential Diagnosis
Dr. Monika Bansal,
302, Marigold Tower, Mayfair, Apartment,
Sector 70, Mohali, Punjab, India.
|The name pseudolipoma of Glisson capsule is used interchangeably with another commonly used term, hepatic pseudolipoma, the prevalence of which, as mentioned by Karhunen is 0.2%.The mean age of occurrence is 67 years. These are fatty masses mainly found on the diaphragmatic aspect of Glisson’s capsule. They are more common in men than in women, and are usually asymptomatic. So, they are only seen at necropsy, or as an incidental finding on radiology or intraoperatively. Macroscopically, these innocent lesions may mimic metastatic carcinoma, and microscopically they must be distinguished from true hepatic lipomas, parasites (hydatid cysts) or solitary sub capsular necrotic nodule. We report a case of idiopathic pyloric stenosis, with an incidental finding of a calcified lesion in liver on CT scan, which was differentially diagnosed as calcified hydatid cyst or calcified old abscess by the radiologist. On microscopy, the lesion was diagnosed as pseudolipoma of the Glisson’s capsule.|
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