[Isolated tuberculosis of the liver coincident with renal cell carcinoma].
The macronodular form of hepatic tuberculosis is a very rare disease characterized by tumor-like tuberculomas or abscesses. Correct diagnosis is hampered by ambiguous clinical and radiological findings. We present a case of solitary tuberculosis of the liver without evidence of extrahepatic tuberculous manifestations. The lesions mimicked metastatic disease of a coincidentally found kidney tumor. Diagnosis could only be made by histologic examination of repeated percutaneous liver biopsies. Antituberculous treatment lead to a complete retrogression of hepatic changes while the kidney tumor (histologically a renal cell carcinoma) was removed surgically. As a liver biopsy provides the only means of diagnosing local nodular tuberculosis, which is treatable, we conclude that it should be performed on every unclear tumorous lesion of the liver.
Hlawatsch
A
A
Klinik und Poliklinik für Radiologie, Klinikum der Johannes-Gutenberg-Universität Mainz.
Stürer
A
A
Schirmacher
P
P
D000368:Aged; D001707:Biopsy, Needle; D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology; D007680:Kidney Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D008099:Liver / Q000473:pathology; D011859:Radiography; D014386:Tuberculosis, Hepatic / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology