Hepatic tuberculoma concomitant with gastric cancer —a case report—
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- TERASHI Takahiro
- Department of Surgery, National Hospital Organization, Oita Medical Hospital
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- NAKAMURA Toshihiko
- Department of Surgery, National Hospital Organization, Oita Medical Hospital
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- OHTA Ryuji
- Department of Surgery, National Hospital Organization, Oita Medical Hospital
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- TAHARA Kouichirou
- Department of Surgery, National Hospital Organization, Oita Medical Hospital
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- ANAI Hideaki
- Department of Surgery, National Hospital Organization, Oita Medical Hospital
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- MORIUCHI Akira
- Department of Pathology, National Hospital Organization, Oita Medical Hospital
Bibliographic Information
- Other Title
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- 術前診断が困難であった胃癌に併存した肝結核の1例
- 症例 術前診断が困難であった胃癌に併存した肝結核の1例
- ショウレイ ジュツゼン シンダン ガ コンナン デ アッタ イガン ニ ヘイソン シタ カン ケッカク ノ 1レイ
- Hepatic tuberculoma concomitant with gastric cancer ^|^mdash;a case report^|^mdash;
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Abstract
A 76-year-old man presented with a fever of 39°C. Abdominal enhanced computed tomography showed multiple enhanced liver tumors in S4, S5/6, and S8 of uniform size, and within 3-7 cm of each other ; multiple enlarged lymph nodes were noted in the abdomen. Under a tentative diagnosis of multiple liver abscesses and inflammatory lymph node enlargement, conservative management with antibiotics was instituted Gastrointestinal fiberscopy showed gastric cancer. Under a diagnosis of gastric cancer and inflammatory hepatic granuloma, distal gastrectomy and liver biopsy were performed. Histological examination confirmed the diagnosis of epithelioid granuloma with caseous necrosis in the liver nodules and abdominal lymph nodes. Bacilli were demonstrated in the lymph nodes on Ziehl-Neelsen staining. Gaffky's scale was 0, and the tuberculin test and QFT were both positive. Thus, the final diagnosis was hepatic tuberculoma, tubercular peritonitis, and tubercular lymphadenitis. After anti-tuberculosis treatment, the hepatic tuberculoma nodules disappeared.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 73 (4), 942-946, 2012
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390282679827235968
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- NII Article ID
- 10030987953
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 030739926
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed