A CASE OF SOLITARY TUBERCULOMA OF THE LIVER

A case of solitary tuberculoma of the liver is reported, together with a review of the literature.A 48-year-old female visited our hospital with the chief complaint of right lateroabdominal pain. Examinations on admission revealed a lack in inflammatory findings and all tumor markers in normal ranges. Abdominal ultrasonography and CT indicated an irregular tumorous lesion in the border region between S5 and S6 of right lobe of the liver. Ultrasonography-guided biopsy of the liver offered a suspision of liver cell carcinoma, and hepatectomy was carried out. Extirpated specimen was a well-defined and yellowish brown solid tumor, associating with a cavitation partially in the center. It was considered an inflammatory tumor. Pathohistologically almost of the tumor was consisted of coagulated necrosis surrounded by epitheloid cell layer containing Langhans giant cells in the outside of which infiltrated lymphocytes and plasma cells were seen. Ziehl-Neelsen staining resulted in negative, however, solitary tuberculoma was strongly suspected for its morphology. Postoperative course was uneventful. The patient is strictly followed without any antituberculosis treatments.