| Autor: |
Houssem, Harbi, Amine, Chaabouni, Rim, Kallel, Nozha, Toumi, Sami, Fendri, Jihene, Krichene, Salah, Boujelbene, Rafik, Mzali |
| Rok vydání: |
2017 |
| Předmět: |
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| Zdroj: |
Archives of Iranian medicine. 21(4) |
| ISSN: |
1735-3947 |
| Popis: |
Isolated macro-nodular liver tuberculosis is a very rare condition. It may mimic primitive or secondary tumors of the liver. This could delay or mislead the therapeutic management. An immunocompetent 48-year-old man with a history of non-metastatic seminoma was treated with right orchidectomy followed by 20 Gy radiotherapy. The discovery, 8 months later, of a 2 cm nodule of the hepatic dome evoked a liver metastasis. Percutaneous biopsy was not feasible. Wedge resection was performed whereas medical treatment would have sufficed, as pathologic examination of the resected specimen showed a macro-nodular hepatic tuberculosis. The patient received anti-tuberculosis drugs for 9 months. The diagnosis of isolated macro-nodular liver tuberculosis is frequently misleading, particularly in immunocompetent and paucisymptomatic patients. Thus percutaneous biopsy is mandatory for diagnosis and also prior to any major surgeries. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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