[Diagnosis and treatment of hepatic tuberculoma].

OBJECTIVE

To explore the appropriate diagnosis and treatment for hepatic tuberculoma.

METHOD

Eight cases with hepatic tuberculoma confirmed pathologically were reported and analyzed.

RESULTS

Five of the eight cases were misdiagnosed as other types of hepatic tumor, and only 3 cases correctly diagnosed preoperatively. All cases underwent segmentectomy or local resection, and no relapse was found after four-year follow-up in seven cases.

CONCLUSIONS

The cases with hepatic occupying-space lesions who had tuberculosis history should be suspected of being hepatic tuberculoma; The aspiration liver biopsy guided by B-mode ultrasound and CT scan can provide correct diagnosis; The segmentectomy and local resection are effective and practicable for treatment of hepatic tuberculoma, and the antituberculosis drugs should be administrated postoperatively so as to strengthen the therapeutic effect.