肝结核瘤

Bharathi A, Nagarjuna K, Prasad G V S N, Reddy J Bhaskar, Prasad D Kalyan Ravi

Department of Professor of Paediatric Surgery, Niloufer Institute of Child Health, Hyderabad, India.

J Indian Assoc Pediatr Surg. 2008 Oct;13(4):149-50. doi: 10.4103/0971-9261.44769.

We report an isolated giant solid macronodular tuberculoma in an 8-year-old boy. A large-space-occupying lesion in the right lobe with nodular surface and hard consistency mimicked liver malignancy. This case is unusual as the ultrasonography, computed tomography scan, and aspiration cytology were all suggestive of a malignant tumor. Laparotomy confirmed a 15 x 10 cm nodular tumor present in the right lobe of liver. The segments 5, 6, 7, and 8 were excised. The histopathology revealed tuberculosis.

我们报告了一名8岁男孩的孤立性巨大实性巨结节性结核瘤。右叶一个具有结节状表面且质地坚硬的大占位性病变酷似肝脏恶性肿瘤。此病例不同寻常，因为超声检查、计算机断层扫描及穿刺细胞学检查均提示为恶性肿瘤。剖腹探查证实肝脏右叶存在一个15×10厘米的结节性肿瘤。切除了第5、6、7和8段。组织病理学检查显示为结核。