간세포암으로 오인된 원발성 간결핵 1례

Title
간세포암으로 오인된 원발성 간결핵 1례
Other Titles
Primary hepatic tuberculosis mimicking hepatocellu[l]ar carcinoma in patient with chronic viral hepatitis B and C
Authors
최세명신경인장병국황재석정우진강구정강유나
Keimyung Author(s)
장병국; 황재석; 정우진; 강구정; 강유나
Department
Dept. of Internal Medicine (내과학); Dept. of Surgery (외과학); Dept. of Pathology (병리학)
Keywords
Hepatic tuberculosis; Hepatocellular carcinoma; Tuberculosis
Issue Date
2016
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.35(1) : 58-62, 2016
Abstract
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.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15700
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2016
1. 연구논문 > 1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. 연구논문 > 1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
1. 연구논문 > 1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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