IgG4-related Autoimmune Hepatitis Mimicking Hepatic Malignancy Shown on 18 F-FDG PET/CT.

Su, Juan; Gao, Haiyan; Zhang, Wei; Deng, Yan · Clin Nucl Med · 2026

case_report · Level V

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Abstract

We report the 18 F-FDG PET/CT findings of IgG4-related autoimmune hepatitis mimicking hepatic malignancy in a 52-year-old man. The patient presented with intermittent fever, abdominal pain, and significantly elevated tumor markers. Initial evaluation with contrast-enhanced CT suggested hepatic malignancy. 18 F-FDG PET/CT demonstrated heterogeneous hepatic FDG uptake and multiregional hypermetabolic lymphadenopathy. Diagnosis was confirmed by cervical lymph node biopsy and a favorable clinical response to glucocorticoid therapy.

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