Surgery Today

, Volume 36, Issue 11, pp 1019–1023

Segmentectomy for Reactive Lymphoid Hyperplasia of the Liver: Report of a Case

  • Naoki Maehara
  • Kazuo Chijiiwa
  • Ichiro Makino
  • Jiro Ohuchida
  • Masahiro Kai
  • Kazuhiro Kondo
  • Sayaka Moriguchi
  • Kousuke Marutsuka
  • Yujiro Asada
Article

DOI: 10.1007/s00595-006-3286-6

Cite this article as:
Maehara, N., Chijiiwa, K., Makino, I. et al. Surg Today (2006) 36: 1019. doi:10.1007/s00595-006-3286-6

Abstract

We report a case of reactive lymphoid hyperplasia (RLH) of the liver in a 72-year-old woman without any symptoms. To our knowledge, only 11 other cases of this disease have ever been reported. The lesion was found incidentally during a medical examination, as a hypoechoic mass in segment 3 of the liver on ultrasonography. The findings of computed tomography, magnetic resonance imaging, and angiography suggested a malignancy. Frozen section diagnosis of an intraoperative needle biopsy suggested malignant lymphoma, so we performed lateral segmentectomy of the liver. Macroscopically, the tumor was well defined, white, and firm. Microscopically, there was polymorphous lymphoplasmacytic infiltration, with various-sized and -shaped lymphoid follicles. Lymphocytic infiltration was also observed in the portal tracts around the nodular lesion. Immunohistochemical study revealed polyclonality, confirming a pathological diagnosis of RLH of the liver. We discuss the clinicopathologic characteristics of this unusual disease.

Key words

Reactive lymphoid hyperplasiaLiverLymphoma

Copyright information

© Springer-Verlag Tokyo 2006

Authors and Affiliations

  • Naoki Maehara
    • 1
  • Kazuo Chijiiwa
    • 1
  • Ichiro Makino
    • 1
  • Jiro Ohuchida
    • 1
  • Masahiro Kai
    • 1
  • Kazuhiro Kondo
    • 1
  • Sayaka Moriguchi
    • 2
  • Kousuke Marutsuka
    • 2
  • Yujiro Asada
    • 2
  1. 1.Department of Surgery 1University of Miyazaki, School of MedicineMiyazakiJapan
  2. 2.Department of Pathology 1University of Miyazaki, School of MedicineMiyazakiJapan