Herman P, Pugliese V, Laurino Neto R, Machado M C, Pinotti H W
Department of Gastroenterology, Hospital das Clínicas Medical School, University of São Paulo, Brazil.
J Trop Med Hyg. 1995 Apr;98(2):141-2.
The nodular form of hepatic tuberculosis (TB) is a very uncommon disease characterized by coalescing tubercles to form tumour-like tuberculomas or abscesses without evidence of extrahepatic tuberculosis. Since 1950, 23 cases of isolated nodular TB in the liver have been reported in the world literature. In 19 of these cases laparotomy was performed and the correct diagnosis was obtained only on histologic examination. We report one additional case of multiple tuberculous abscesses which were initially diagnosed as hepatic abscesses and at intraoperative evaluation were thought to be a liver tumour. The diagnosis was made by histological examination with identification of acid-fast bacili.
肝结核的结节型是一种非常罕见的疾病，其特征是结核结节融合形成肿瘤样结核瘤或脓肿，而无肝外结核的证据。自1950年以来，世界文献中已报道了23例肝脏孤立性结节型结核病例。其中19例进行了剖腹手术，仅通过组织学检查才获得正确诊断。我们报告另外1例多发性结核脓肿病例，最初被诊断为肝脓肿，术中评估时被认为是肝脏肿瘤。通过组织学检查并鉴定出抗酸杆菌而作出诊断。
