A case of hepatic tuberculosis presented multiple masses which was disappeared by antituberculosis therapy

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  • Mitsuishi Takehiro
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine Katsushika Medical Center
  • Abe Hiroshi
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine Katsushika Medical Center
  • Seki Nobuyoshi
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine Katsushika Medical Center
  • Miyazaki Tamihiro
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine Katsushika Medical Center
  • Aida Yuta
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine Katsushika Medical Center
  • Itagaki Munenori
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine Katsushika Medical Center
  • Ishiguro Haruya
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine Katsushika Medical Center
  • Sutoh Satoshi
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine Katsushika Medical Center
  • Aizawa Yoshio
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine Katsushika Medical Center

Bibliographic Information

Other Title
  • 肝多発腫瘤性病変を呈し，抗結核薬が著効した肝結核の1例
  • 症例報告 肝多発腫瘤性病変を呈し,抗結核薬が著効した肝結核の1例
  • ショウレイ ホウコク カン タハツ シュリュウセイ ビョウヘン オ テイシ,コウケッカクヤク ガ チョコウシタ カン ケッカク ノ 1レイ

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Description

A 41-year-old man presented at our division with low-density masses in the right lobe of the liver detected by computed tomography (CT) while screening for renal diseases. Enhanced CT demonstrated that these masses had slowly become isodense. Consent of histopathological examination was not obtained from the patient at that time. After 6 months, the masses showed a notable increase in size and number. Ultrasound-guided biopsy was performed, and non-caseous epithelioid granulomas with necrosis and multinucleate giant cells were observed. Based on these findings, we considered a probable diagnosis of liver tuberculosis or sarcoidosis. The QuantiFERON test and tuberculous polymerase chain reaction results were negative. Serum calcium and angiotensin-converting enzyme levels were normal, and bilateral hilar lymphadenopathy was not present. Although a diagnosis of liver tuberculosis was not confirmed, we decided to initiate anti-tuberculosis therapy to prevent morbid progression of tuberculosis. After 6 months of therapy, the masses decreased in size.

Journal

  • Kanzo

    Kanzo 55 (1), 40-50, 2014

    The Japan Society of Hepatology

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