- A single hepatic mass with two tales: hepatic tuberculosis and hepatocellular carcinoma
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Yi De Ian Koh, Wei-Qiang Leow
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J Liver Cancer. 2023;23(2):397-401. Published online September 8, 2023
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DOI: https://doi.org/10.17998/jlc.2023.08.30
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Abstract
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- Hepatic tuberculosis (HTB) is an uncommon manifestation of tuberculous infections, and there has been no proven causal link between HTB and hepatocellular carcinoma (HCC). We herein present a rare case of a synchronous presentation of HTB and HCC within a single hepatic mass. A 57-year-old Chinese gentleman with recently diagnosed sigmoid adenocarcinoma was found to have a left lower lobe pulmonary nodule and solitary hepatic mass on staging computed tomography. Biopsies showed the hepatic mass to have both HTB and HCC components. This serves as a reminder that HTB is an important differential to consider for space-occupying lesions in the liver. Histological evaluation of suspected hepatic malignancies is recommended to exclude the presence of HTB in appropriate clinical settings.
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