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Original Article
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Korean J Med. 2007;73(3):876-879.
- 증례 : 복부 전산화 단층 촬영과 세침흡인 세포검사로 진단한 간 방선균증 1예
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안대현&#;남지혁&#;박창욱&#;변정래&#;나호영&#;김준우&#;김기태, , , , , ,
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- A case of primary hepatic actinomycosis diagnosed by fine needle aspiration cytology and abdominal computed tomography
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Dae Hyun Ahn, Ji Hyuk Nam, Chang Wook Park, Jeong Rae Byun, Ho Young Na, Joon Woo Kim, Ki Tai Kim
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경희대학교 의과대학 순환기내과학교실
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- Abstract
- Actinomycosis is an uncommon chronic infection in which primary liver involvement accounts for 5% of all
actinomycotic infections. The presence of a long-standing intrauterine device (IUD) is a well-known risk factor for this
infection in women. Hepatic actinomycosis can closely mimic a malignant tumor on clinical and radiological examination.
A 46-year-old woman was admitted to the hospital with right upper quadrant pain and fever for 4 weeks. Abdominal
computed tomography revealed a 7¡¿7 cm hepatic mass with invasion into the rectus abdominis muscle beyond Glisson's
capsule. An ultrasound guided fine needle aspiration (FNA) cytology sample showed numerous long filamentous bacilli.
Here we report a case of primary hepatic actinomycosis, emphasizing the role of abdominal computed tomography
followed by FNA, in a condition that frequently requires liver biopsy for diagnosis.(Korean J Med 73:S876-S879, 2007)
Keywords :Actinomycosis, Fine-needle aspiration
