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KMID : 0980720160350010058
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Keimyung Medical Journal
2016 Volume.35 No. 1 p.58 ~ p.62
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Primary Hepatic Tuberculosis Mimicking Hepatocelluar Carcinoma in Patient with Chronic Viral Hepatitis B and C
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Choi Sei-Myong
Shin Kyung-In
Jang Byoung-Kuk
Hwang Jae-Seok
Chung Woo-Jin
Kang Koo-Jeong
Kang Yu-Na
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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.
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KEYWORD
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Hepatic tuberculosis, Hepatocellular carcinoma, Tuberculosis
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