Keimyung Med J.  2016 Jun;35(1):58-62. 10.0000/kmj.2016.35.1.58.

Primary Hepatic Tuberculosis Mimicking Hepatocelluar Carcinoma in Patient with Chronic Viral Hepatitis B and C

• Choi SM
• Shin KI
• Jang BK
• Hwang JS
• Chung WJ
• Kang KJ
• Kang YN

• KMID: 2307749
• DOI: http://doi.org/10.0000/kmj.2016.35.1.58

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.

Keyword

Hepatic tuberculosis; Hepatocellular carcinoma; Tuberculosis

MeSH Terms

Aged
Carcinoma, Hepatocellular
Cholangiocarcinoma
Diagnosis
Female
Granuloma
Hepatitis B*
Hepatitis*
Humans
Liver
Neoplasm Metastasis
Polymerase Chain Reaction
Tuberculosis
Tuberculosis, Hepatic*