In oncology practice, opportunistic infections are common. A rare infectious pathogen in a cancer patient can be challenging. Sixty-six year old female patient with a history of breast cancer presented with lesions in liver. PET revealed intense uptake in the multiloculated lesion in the right liver lobe. Eosinophlia and absence of symptoms conveyed us to a diagnosis of fascioliasis. Patient was treated. After 12 months of follow-up patient is still free of fascioliasis and breast cancer. Our experience while giving important data about PET experience with fascioliasis, reminded us a rare cause of hepatic lesion and importance of clinical management in a cancer patient. Here we present a patient with fascioliasis mimicking breast cancer recurrence.
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