Liver hilar tuberculous lymphadenitis successfully diagnosed by laparoscopic lymph node biopsy

Wakasugi, Masaki; Tanemura, Masahiro; Mikami, Tsubasa; Furukawa, Katsunori; Tsujimoto, Masahiko; Akamatsu, Hiroki

doi:10.1016/j.ijscr.2015.03.002

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…We conducted a search using the PubMed database and 11 cases with Mycobacterium tuberculosis masquerading as metastasis or recurrence of malignancy revealed by multifocal FDG uptakes on FDG-PET/CT were identified, including the present case ( 15 - 21 ). There was no information regarding the source of primary carcinoma or the period between the onset and diagnosis of malignancy.…”

Section: Discussionmentioning

confidence: 99%

Disseminated <i>Mycobacterium tuberculosis</i> Infection Masquerading as Metastasis after Heavy Ion Radiotherapy for Prostate Cancer

et al. 2016

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Fluorodeoxyglucose (FDG)-positron emission tomography with computed tomography (FDG-PET/CT) is useful in disease monitoring of malignancies after therapy, while an FDG uptake may also be present in benign diseases. We herein demonstrate a case of disseminated Mycobacterium tuberculosis mimicking systemic metastasis of prostate cancer. This case highlights that clinicians should consider Mycobacterium tuberculosis in patients with prostate cancer who demonstrate multifocal FDG uptakes masquerading as metastasis, even when the chest photographs reveal a normal appearance and a sputum examination demonstrates negative results. An invasive surgical biopsy may be required and a pathological analysis would be critical in the diagnosis of Mycobacterium tuberculosis.

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Section: Discussionmentioning

confidence: 99%

Disseminated <i>Mycobacterium tuberculosis</i> Infection Masquerading as Metastasis after Heavy Ion Radiotherapy for Prostate Cancer

et al. 2016

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FDG PET/CT in TB: Mimics, Pitfalls, and Limitations

Šaranović

Stojiljković

2020

PET/CT in Tuberculosis

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A case of liver hilar tuberculous lymphadenitis complicated by biliary stricture diagnosed by endoscopic ultrasound-guided fine-needle aspiration

Ando

Iwata

Yamazaki

et al. 2018

Clin J Gastroenterol

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This report describes a case of liver hilar tuberculous lymphadenitis complicated by biliary stricture, diagnosed with endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). A 44-year-old woman was referred to our center for further evaluation of abnormal liver function tests. Abdominal ultrasound/contrast-enhanced computed tomography (CT) revealed a 15-mm hypovascular mass with a weakly enhanced margin at the liver hilum. Magnetic resonance cholangiopancreatography revealed dilatation of the intrahepatic bile ducts in the left lobe of liver and gradual narrowing of the left hepatic duct. Biliary stricture associated with enlarged hilar lymph nodes due to metastasis or malignant lymphoma was suspected, but calcification on chest CT and a positive T-SPOT test did not rule out tuberculosis. After transpapillary brush cytology of the bile duct stricture failed to confirm the diagnosis, EUS-FNA of hilar lymph nodes was performed and showed positive for the acid-fast bacillus and polymerase chain reaction for Mycobacterium tuberculosis DNA as well as epithelioid granulomas on pathological evaluation. Those findings led to a diagnosis of hilar tuberculous lymphadenitis. The patient is under treatment with antituberculosis drugs. Abdominal tuberculous lymphadenitis is rare and some cases diagnosed as lymphadenopathy of unknown origin have required surgery. EUS-FNA is a safe and minimally invasive diagnostic method in such cases.

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Liver hilar tuberculous lymphadenitis successfully diagnosed by laparoscopic lymph node biopsy

Cited by 3 publications

References 13 publications

Disseminated <i>Mycobacterium tuberculosis</i> Infection Masquerading as Metastasis after Heavy Ion Radiotherapy for Prostate Cancer

Disseminated <i>Mycobacterium tuberculosis</i> Infection Masquerading as Metastasis after Heavy Ion Radiotherapy for Prostate Cancer

FDG PET/CT in TB: Mimics, Pitfalls, and Limitations

A case of liver hilar tuberculous lymphadenitis complicated by biliary stricture diagnosed by endoscopic ultrasound-guided fine-needle aspiration

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