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A case of hepatocellular carcinoma with tuberculoma within tumor tissue
Authors:Kazuma Yano   Minekatsu Nishida   Tatsuto Yamamoto   Akira Tangoku   Ryoichi Shimizu   Tetsuji Uchiyama   Masaaki Oka   Takuo Murakami   Takashi Suzuki  Yoshimi Yamashita
Affiliation:(1) Second Department of Surgery, Yamaguchi University, School of Medicine, 1144 Kogushi, 755 Ube, Yamaguchi, Japan;(2) First Department of Pathology, Yamaguchi University, School of Medicine, 1144 Kogushi, 755 Ube, Yamaguchi, Japan
Abstract:
We made a diagnosis of hepatocellular carcinoma and performed partial resection of the liver in a 72 year-old woman. Granulomas were observed within hepatocellular carcinoma in the surgical specimen. Microscopic findings demonstrated the granulomas particularly within the tumor, and showed that they were composed of epithelioid cells with caseous necrosis. These tuberculomas compressed the tumor cells, and many lymphocytes had infiltrated the tumor around the tuberculomas. The cancer stage of the patient was early and her prognosis is good.
Keywords:hepatocellular carcinoma  tuberculosis  granuloma
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