| Primary Hepatic Tuberculosis Mimicking Hepatocelluar Carcinoma in Patient with Chronic Viral Hepatitis B and C. |
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Sei Myong Choi, Kyung In Shin, Byoung Kuk Jang, Jae Seok Hwang, Woo Jin Chung, Koo Jeong Kang, Yu Na Kang |
1Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea. goblr@naver.com
2Department of General Surgery, Keimyung University School of Medicine, Daegu, Korea.
3Department of Patholgy, Keimyung University School of Medicine, Daegu, Korea. |
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| Abstract |
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Hepatic tuberculosis (TB) is usually associated with pulmonary or miliary TB, but primary hepatic TB is rare less than 1% of all cases of TB. Because hepatic TB lacks typical clinical manifestations as well as typical imaging findings, it is difficult to differentiate TB from the malignancies such as hepatic metastasis, intrahepatic cholangiocarcinoma and hepatocellular carcinoma. A 76-year-old woman was presented with single liver mass detected on routine examination. She was clinically diagnosed with hepatocellular carcinoma and underwent surgical excision of the lesion. However, histologic examination revealed caseous necrotizing granuloma and the PCR test for Myco-bacterium tuberculosis was positive. The final diagnosis was primary hepatic TB. Here we report the case with primary hepatic TB who was initially misdiagnosed with hepatocellular carcinoma and underwent surgical excision. |
| Key Words:
Hepatic tuberculosis, Hepatocellular carcinoma, Tuberculosis |
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