Zipser R D, Rau J E, Ricketts R R, Bevans L C
Am J Med. 1976 Dec;61(6):946-51. doi: 10.1016/0002-9343(76)90420-4.
A 35 year old man presented with fever, weight loss and adenopathy. The clinical presentation, laboratory studies, liver scan and laparotomy all suggested metastatic carcinoma. Bacteriologic and pathologic studies established a diagnosis of macronodular tuberculosis isolated to the liver. Response to antituberculous drug therapy was rapid. Review of the literature revealed this case to be a rare example of tuberculous pseudotumors of the liver.
一名35岁男性出现发热、体重减轻和淋巴结病。临床表现、实验室检查、肝脏扫描和剖腹手术均提示为转移性癌。细菌学和病理学研究确诊为孤立于肝脏的大结节性结核。抗结核药物治疗反应迅速。文献回顾显示,该病例是肝结核假瘤的罕见实例。