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Original Article
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Korean J Med. 2007;73(4):423-427.
- 증례 : 담관암으로 오인된 일차성 간결핵
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염동한.임평숙.조은영.최창수.김태현.서검석.김학철, , , , , ,
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- Primary hepatic tuberculoma misconceived as a cholangiocarcinoma
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Dong Han Yeom, Peong Suk Im, Eun Young Cho, Chang Soo Choi, Tae Hyeon Kim, Geom Seok Seo, Haak Cheoul Kim
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경희대학교 의과대학 순환기내과학교실
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- Abstract
- Primary hepatic tuberculoma is a rare malady that is not accompanied by local symptoms, so the diagnosis can
frequently be delayed or misconceived as other disease. We report here on an unusual case of primary hepatic
tuberculoma that was misconceived as a cholangiocarcinoma on the imaging study. A 54-year-old man presented with
dyspepsia and weight loss for 1 month. Abdominal computerized tomography demonstrated a solitary space-occupying
lesion on the left lobe of the liver that suggested there was a cholangiocarcinoma accompanied with gastric outlet
obstruction. The lesion was diagnosed by the ultrasonographic guided liver biopsy as a chronic granulomatous
inflammation with necrosis, and the patient was treated via surgical resection with gastro-jejunostomy followed by
antituberculosis chemotherapy. Twelve months later, no evidence of recurrence was noted when examining the patient's
symptoms and the imaging studies.(Korean J Med 73:423-427, 2007)
Keywords :Liver, Tuberculoma
