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KMID : 0882420130850040396
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Korean Journal of Medicine
2013 Volume.85 No. 4 p.396 ~ p.400
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Hepatic Tuberculosis Granuloma Mimicking Hilar Cholangiocarcinoma Confirmed by Endoscopic Ultrasound-Guided Fine-Needle Aspiration
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Yoon Hyun-Sung
Cheon Young-Kook
Lee Tae-Yoon
Shim Chan-Sup
Lee Eung-Jun
Lee Yoon-Serk
Han Hye-Seung
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Abstract
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Hepatic tuberculosis is usually associated with active pulmonary or miliary tuberculosis. The occurrence of an isolated hepatic mass-forming tuberculosis with no evidence of tuberculosis elsewhere is rare. We report a case of a 31-year-old male with a solitary hepatic granuloma mimicking a mass-forming intrahepatic cholangiocarcinoma. Ultrasonography, computed tomography, magnetic resonance imaging, and positron emission tomography of the abdomen showed a malignant tumor-like lesion. We then conducted endoscopic ultrasonography (EUS) and EUS-guided fine-needle aspiration (EUS-FNA) for confirmation of the hepatic hilar mass, which was found to be a hepatic tuberculosis granuloma as the final diagnosis.
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KEYWORD
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Tuberculosis, hepatic, Endoscopic ultrasound-guided fine needle aspiration
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