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http://dx.doi.org/10.3904/kjm.2013.85.4.396

Hepatic Tuberculosis Granuloma Mimicking Hilar Cholangiocarcinoma Confirmed by Endoscopic Ultrasound-Guided Fine-Needle Aspiration  

Yoon, Hyun Sung (Department of Internal Medicine, Konkuk University School of Medicine)
Cheon, Young Koog (Department of Internal Medicine, Konkuk University School of Medicine)
Lee, Tae Yoon (Department of Internal Medicine, Konkuk University School of Medicine)
Shim, Chan Sup (Department of Internal Medicine, Konkuk University School of Medicine)
Lee, Eung Jun (Department of Internal Medicine, Konkuk University School of Medicine)
Lee, Yoon Serk (Department of Internal Medicine, Konkuk University School of Medicine)
Han, Hye Seung (Department of Pathology, Konkuk University School of Medicine)
Publication Information
The Korean Journal of Medicine / v.85, no.4, 2013 , pp. 396-400 More about this Journal
Abstract
Hepatic tuberculosis is usually associated with active pulmonary or miliary tuberculosis. The occurrence of an isolated hepatic mass-forming tuberculosis with no evidence of tuberculosis elsewhere is rare. We report a case of a 31-year-old male with a solitary hepatic granuloma mimicking a mass-forming intrahepatic cholangiocarcinoma. Ultrasonography, computed tomography, magnetic resonance imaging, and positron emission tomography of the abdomen showed a malignant tumor-like lesion. We then conducted endoscopic ultrasonography (EUS) and EUS-guided fine-needle aspiration (EUS-FNA) for confirmation of the hepatic hilar mass, which was found to be a hepatic tuberculosis granuloma as the final diagnosis.
Keywords
Tuberculosis, hepatic; Endoscopic ultrasound-guided fine needle aspiration;
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