一个单一的肝脏质块有两个故事:肝结核和肝细胞癌
Yi De Ian Koh1, Wei-Qiang Leow2,3,4
1Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Journal of liver cancer
|September 8, 2023
概括
本病例报告详细介绍了一种罕见的同步肝结核病 (HTB) 和肝细胞癌 (HCC) 在单个肝脏质中共存的罕见情况. 它强调了在肝病变中考虑HTB的重要性.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 肝结核病 (HTB) 是一种罕见的肺外结核病.
- 尚未确定HTB和肝细胞癌 (HCC) 之间的因果关系.
- 在单个肝脏质块内同步呈现HTB和HCC是非常罕见的.
研究的目的:
- 在一个肝损伤中报告一次同时出现HTB和HCC的独特病例.
- 强调这种共发生所带来的诊断挑战.
- 为了强调在肝脏质量差异中考虑HTB的必要性.
主要方法:
- 一个57岁的男性患有西格腺癌的病例介绍.
- 阶段性计算机断层扫描显示了一个单独的肝脏质量.
- 肝脏质量的组织病理学检查证实了同时存在的HTB和HCC.
主要成果:
- 一个单个肝脏质量显示出结核颗粒瘤和肝细胞癌.
- 患者呈现同步的HTB和HCC.
结论:
- 这一案例凸显了单个肝脏质中同时存在HTB和HCC的可能性.
- 在肝脏占用病变的差异诊断中应考虑肝结核.
- 组织学评估对于准确诊断至关重要,特别是在怀疑肝脏恶性瘤的患者中.
相关概念视频
Pulmonary Tuberculosis II
261
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
261
Pulmonary Tuberculosis III
361
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
361
Pulmonary Tuberculosis IV
161
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
161
Pulmonary Tuberculosis I
262
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
262
Pulmonary Tuberculosis V
200
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
200


