Diagnosis and treatment of 13 cases of pseudotumoral hepatic tuberculosis

Objective:To study the diagnostic and therapeutic features of pseudotumoral hepatic tuberculosis.Methods:13 cases of pseudotumoral hepatic tuberculosis were analyzed from the aspect of clinical manifestation,diagnosis and treatment.Results:Only one case was diagnosed as hepatic tuberculosis preoperatively by US-guided aspiration.All the patients accepted hepatectemy and the diagnosis were confirmed by postoperative pathology.Postoperative antituberculosis therapy had been performed for 9～12 months.All patients were followed up at least two years without recurrence.Conclusion:The patients with tumor-like hepatic nodule and the following clinical signs should be suspected as pseudotumoral hepatic tuberculosis,such as tuberculosis history,fever,discomfort at right upper quadrant,weight loss,without liver cirrhosis,AFP(-),calcify in hepatic mass,lymphadenopathy with marginal enhancement in CT scan.Hepatic resection and antituberculosis therapy are effective treatments.