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Primary hepatic tuberculosis: A rare occurrence.

Devayani Niyogi1, Mahesh Goel1, Rajesh S Shinde1

  • 1GI & HPB Service, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India.

Annals of Hepato-Biliary-Pancreatic Surgery
|March 14, 2019
PubMed
Summary
This summary is machine-generated.

Primary hepatic tuberculosis can mimic liver cancer on imaging. Early diagnosis through biopsy and prompt anti-tuberculosis treatment are crucial for successful patient outcomes.

Keywords:
MalignancyMimicPrimary hepatic tuberculosis

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Area of Science:

  • Hepatology
  • Infectious Diseases
  • Oncology

Background:

  • Primary hepatic tuberculosis is a rare condition.
  • It can present with clinical and imaging findings similar to primary liver malignancy or metastases.

Observation:

  • A case series of five patients at a tertiary cancer center is presented.
  • Patients' clinical features and imaging mimicked liver malignancy.

Findings:

  • Final histopathology confirmed hepatic tuberculosis in all five patients.
  • Three patients underwent surgical resection, and two were diagnosed via biopsy.
  • All patients responded well to anti-tuberculosis therapy and are doing well.

Implications:

  • Highlights the importance of considering hepatic tuberculosis in differential diagnoses.
  • Emphasizes the need for a high index of suspicion and preoperative biopsy for equivocal liver lesions.
  • Successful management with anti-tuberculosis therapy underscores the curability of this rare condition.