肝细胞癌
医学
细针穿刺
巨细胞
转移
病理
肝硬化
肝活检
肝炎
肺结核
活检
肉芽肿
上皮样细胞
乙型肝炎
放射科
胃肠病学
内科学
免疫组织化学
癌症
作者
Lei Zhang,Naibin Yang,Shun-Lan Ni,Sainan Zhang,Chen-Bo Shen,Mingqin Lu
出处
期刊:PubMed
日期:2014-01-01
卷期号:7 (11): 8240-4
被引量:2
摘要
Multiple macronodular hepatic tuberculosis is difficult to be differentiated from hepatocellular carcinoma with intrahepatic metastasis in clinical practice, especially when hepatitis B with or without liver cirrhosis coexists with it. Herein, we report a 30-year-old man with a 10-year history of hepatitis B and a family medical history of hepatocellular carcinoma related with hepatitis B that was finally diagnosed as multiple macronodular hepatic tuberculosis. Abdominal B-mode ultrasonography (US) and plain computed tomography (CT) revealed multiple unequal-sized nodules in the liver. CT-guided fine needle aspiration biopsy (FNAB) of the liver demonstrated a caseating granuloma with lymphocytes, multinucleate giant cells and epithelioid cells compatible with the diagnosis of tuberculosis and no hepatoma cells were detected. Thus, the diagnosis of hepatic tuberculosis was confirmed and hepatocellular carcinoma with intrahepatic metastasis was excluded.
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