Abstract
BackgroundHepatocellular carcinoma (HCC) is the most common primary liver malignancy that is strongly associated with chronic liver disease. Isolated hepatic tuberculosis is an uncommon type of tuberculosis. Concomitant occurrence of both conditions is extremely rare.Case presentationWe report the case of a 47-year-old man who presented with fever and abdominal pain for 3 months prior to presentation. He reported a history of anorexia and significant weight loss. Abdominal examination revealed a tender, enlarged liver. Abdominal computed tomography (CT) demonstrated a solid heterogeneous hepatic mass with peripheral arterial enhancement, but no venous washout, conferring a radiological impression of suspected cholangiocarcinoma. However, a CT-guided biopsy of the lesion resulted in the diagnosis of concomitant HCC and isolated hepatic tuberculosis.ConclusionA rapid increase in tumor size should draw attention to the possibility of a concomitant infectious process. Clinicians must have a high index of suspicion for tuberculosis, especially in patients from endemic areas, in order to initiate early and proper treatment.
Highlights
Hepatocellular carcinoma (HCC) is the most common primary liver malignancy that is strongly associated with chronic liver disease
Clinicians must have a high index of suspicion for tuberculosis, especially in patients from endemic areas, in order to initiate early and proper treatment
Hepatocellular carcinoma (HCC) is a primary liver malignant tumor that is a leading cause of cancer-related mortality worldwide [1]. It often develops in the setting of chronic liver disease, and it is estimated that more than 70% of cases are related to chronic infection from hepatitis B or C viruses [2]
Summary
A rapid increase in tumor size should draw attention to the possibility of a concomitant infectious processes.
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