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Nematode infection of the liver mimicking metastasis of malignant melanoma


Stephan Timm, Department of Surgery, University of Würzburg, Oberdürrbacherstr. 6, 97080 Würzburg, Germany.
Tel: +0049 931 201 31042


Abstract: Background: The differential diagnoses of a circumscribed mass of the liver are varied. Especially if a malignant tumor, capable of setting metastases to the liver, is known in a patient's medical history, there might be difficulties in differentiating the tumor's entity.

Casuistry: We report a case of a 40-year-old male with a history of malignant melanoma in whom follow-up investigations revealed a mass in the liver.

Results: The histopathological and microbiological results, however, showed an infestation of liver tissue with nematodes. Malignant tumor cells could not be detected.

Conclusions: Roundworm-infections of the liver can present as lesions suspicious of being malignant. Therefore, along with e.g. microhamartoma, microabscesses and hepatocellular carcinoma, infestation with nematodes should be taken into consideration.