1.
[Primary hepatic actinomycosis concomitant with elevation of protein induced by vitamin K absence or antagonist II - report of a case].
Morita, Y, Sakaguchi, T, Shibasaki, Y, Oishi, K, Suzuki, A, Fukumoto, K, Inaba, K, Baba, S, Takehara, Y, Suzuki, S, et al
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology. 2011;(10):1735-42
Abstract
We report a case of primary hepatic actinomycosis showing elevation of serum protein induced by vitamin K absence or antagonist II (PIVKA-II). A 68-year-old man visited an affiliated hospital with a complaint of high fever and body weight loss. Hematological examination revealed severe inflammatory reactions and liver dysfunction. Abdominal CT showed a heterogeneous low density area composed of cystic and solid part. We suspected the cystic part with band-like enhancement to be a hepatic abscess and performed percutaneous transhepatic abscess drainage. Although inflammatory reactions decreased after the drainage, the solid part did not shrink and blood chemistry revealed elevation of PIVKA-II. Since we could not rule out the possibility of hepatoma, right hepatectomy was performed. Histological examination revealed actinomycetes. Although primary hepatic actinomycosis is a rare disease, it must be kept in mind in the differential diagnosis of the liver tumor.
2.
[Gastric cancer with liver metastasis producing alpha-fetoprotein (AFP) and protein induced by vitamin K absence or antagonist II (PIVKA-II); a case report].
Okuse, C, Yotsuyanagi, H, Takahashi, Y, Hayashi, T, Suzuki, M, Iino, S, Ogata, S, Maeyama, S, Uchikoshi, T, Iwabuchi, S
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology. 2003;(1):28-34