Hepatic Macronodular Tuberculoma Mimics Liver Metastasis in a Patient With Locoregional Advanced Tongue Cancer

Hsieh, T’sang‐T’ang; Wu, Yu-Chin; Hsu, Chang Hu; Yang, Chun-Fan; Chiang, I-Ping; Hsieh, Ching-Yun; Sun, Shan; Kao, Chia‐Hung

doi:10.1200/jco.2011.34.9407

Cited by 8 publications

(7 citation statements)

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“…Color Doppler ultrasound may reveal perilesional and intralesional vessels [41]. On contrast-enhanced CT, tuberculomas appear as hypodense lesions with no significant enhancement and, occasionally, minimal peripheral enhancement [42][43][44]. The central low-density area represents caseation necrosis with the enhancing rim, corresponding to peripheral granulation tissue [24] (Figs.…”

Section: Macroscopic Mass-forming Localized Hepatic Tuberculosismentioning

confidence: 99%

Hepatobiliary Tuberculosis: Imaging Findings

Karaosmanoğlu

Onur

Sahani

et al. 2016

American Journal of Roentgenology

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Section: Macroscopic Mass-forming Localized Hepatic Tuberculosismentioning

confidence: 99%

Hepatobiliary Tuberculosis: Imaging Findings

Karaosmanoğlu

Onur

Sahani

et al. 2016

American Journal of Roentgenology

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“…No se evidenció en ningún momento tuberculosis extrahepática debido a que las pruebas de imagen sugerían que se trataba de una patología secundaria a un tumor neuroendocrino primario. Una vez confirmado el diagnóstico el pilar más importante del tratamiento de esta patología es la terapia antituberculosa, ocasionalmente complementada con tratamiento quirúrgico 9 . Con la terapia específica el pronós-tico es favorable y las lesiones se resuelven en la mayoría de los casos entre 6 y 18 meses 8 .…”

Section: Discussionunclassified

Tuberculoma hepático que simula metástasis de carcinoma neuroendocrino gástrico

et al. 2018

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ResumenLa tuberculosis es una de las enfermedades infecciosas más frecuentes de distribución mundial, con una amplia presentación clínica. La afectación hepática de la tuberculosis es poco frecuente, pero más infrecuente aún lo es el tuberculoma hepático. Se presenta el caso de una paciente con tuberculoma hepático solitario que simula metástasis hepática secundaria a tumor neuroendocrino. Palabras clave: mycobacterium tuberculosis; tuberculosis; tuberculosis hepática; tuberculoma; hiperplasia nodular focal. AbstractTuberculosis is one of the most common infectious diseases, with worldwide distribution and ample clinical manifestations. Hepatic tuberculosis is rare but hepatic tuberculoma is even rarer. We report an unusual case of a solitary hepatic tuberculoma simulating hepatic metastasis of a neuroendocrine tumor. Key words: mycobacterium tuberculosis; tuberculosis, hepatic; tuberculoma; focal nodular hyperplasia. IntroducciónLa tuberculosis es una entidad infecciosa común y bien descrita en la literatura, distribuida predominantemente en países en vía de desarrollo 1 . La afectación hepática en la tuberculosis extrapulmonar es poco frecuente y puede debutar de diferentes formas clínicas, entre ellas la más frecuente es la secundaria a tuberculosis miliar [1][2][3] . Dentro de las manifestaciones poco frecuentes se encuentra el tuberculoma hepático solitario 3 . Dado que esta presentación es poco común y los síntomas son inespecíficos, el diagnóstico se dificulta sin un análisis patológico que lo confirme. No es infrecuente, como en el caso que se expone, que

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“…With a sensitivity of 57% the results of polymerase chain reaction have also been disappointing. 3,8 Pathological examination is necessary for diagnosis. 1,2,5,6 Histologically, the presence of a caseating granuloma is diagnostic of hepatic tuberculosis.…”

Section: Case Reportmentioning

confidence: 99%

“…A one year course of therapy is recommended. 2,3,5,6 With early diagnosis and effective treatment, the prognosis of hepatic tuberculosis is usually good.…”

Section: Case Reportmentioning

confidence: 99%

“…1,2 Although the incidence of tuberculosis had initially decreased with the advent of effective chemotherapy, it is currently increasing especially among the elderly, the immunocompromised and those from the lower socioeconomic strata. 3 Diagnosis of nodular hepatic tuberculosis is not straightforward, especially in the absence of pulmonary /miliary tuberculosis as this lesion is a tumour mimic on imaging. 1,2 The diagnosis of macronodular tuberculosis is usually unsuspected and confused with primary or metastatic carcinoma and as in our case, it may necessitate a hepatic resection.…”

Section: Introductionmentioning

confidence: 99%

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Macronodular tuberculosis of the liver: a tumour masquerade

Rammohan¹

2014

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Hepatic Macronodular Tuberculoma Mimics Liver Metastasis in a Patient With Locoregional Advanced Tongue Cancer

Cited by 8 publications

References 20 publications

Hepatobiliary Tuberculosis: Imaging Findings

Hepatobiliary Tuberculosis: Imaging Findings

Tuberculoma hepático que simula metástasis de carcinoma neuroendocrino gástrico

Macronodular tuberculosis of the liver: a tumour masquerade

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