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KMID : 0387919920030020100
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Korean Journal of Cytopathology
1992 Volume.3 No. 2 p.100 ~ p.103
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A Case of Hepatic Actinomycosis Diagnosed by Fine needle Aspiration Cytology
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하창원
고재수/조경자/장자준
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Abstract
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We experienced a case of primary hepatic actinomycosis which was initially diagnosed by means of fine needle aspiration. The patient was a 31-year-old emaciated man with a 2-month history of 10kg weight loss, right upper quadrant pain and
flank
pain. The liver was palpable and tender on physical examination. Computerized tomography scan of the liver showed two ill-defined hypodense masses in gallbladder fossa and inferior pole of right lobe. Hepatocellular carcinoma was
clinically
suspected. A CT-guided fine needle aspiration was performed Microscopically, smears showed numerous radiating clusters of filamentous bacteria with many neutrophils and monocytes in necrotic background. The symptoms were improved by incision
and
drainage and massive administration of penicillin.
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KEYWORD
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