Granulomatous inflammation in differential diagnosis of hepatobiliary malignancy
Authors:
J. Brůha 1,2; V. Liška 1,2; V. Třeška 1; T. Skalický 1; J. Fichtl 1; O. Hes 3
Authors place of work:
Chirurgická klinika, Lékařská fakulta Univerzity Karlovy a FN Plzeň
přednosta: prof. MUDr. V. Třeška, DrSc.
1; Biomedicínské centrum, Lékařská fakulta v Plzni, Univerzita Karlova v Praze
přednosta: doc. MUDr. M. Štengl, Ph. D.
2; Šiklův ústav patologie, Lékařská fakulta Univerzity Karlovy a FN Plzeň
přednosta: prof. MUDr. M. Michal
3
Published in the journal:
Rozhl. Chir., 2016, roč. 95, č. 1, s. 40-44.
Category:
Case Report
Summary
The authors present two case reports to demonstrate wide differential diagnosis of granulomatous disorders of the hepatobiliary tract. Isolated granulomatous disorders are very rare in this area. Differantial diagnosis includes infectious and systemic diseases or chemical irritation. Granulomas often immitate malignant tumors and the surgeon could be first to diagnose this disease during liver resection or cholecystectomy.
Key words:
granulomatous inflammation − hepatic granuloma − non-specific inflammation − liver resection − cholecystectomy
Zdroje
1. Kumar V, Abbas A, Fausto N. Robbins basic pathology (8th ed.). Philadelphia, Saunders/ Elsevier 2007.
2. James DG. A clinicopathological classification of granulomatous disorders. Postgrad Med J 2000;76:457−65.
3. Saluja SS, Ray S, Pal S, et al. Hepatobiliary and pancreatic tuberculosis: a two decade experience. BMC Surg 2007;7:1−9.
4. Ufuk F, Herek D. CT of hepatic sarcoidosis: small nodular lesions simulating metastatic disease. Pol J Radiol 2015;7:945−54.
5. Třeška V, Hes O, Němcová J. Liver tuberculoma. Bratisl Lek Listy 2009;110:363−5.
6. Chong VH, Lim KS. Hepatobiliary tuberculosis. Singapore Med J 2010;51:744−51.
7. Shastri M, Kausadikar S, Jariwala J, et al. Isolated hepatic tuberculosis: An uncommon presentation of a common culprit. Australas Med J 2014;7:247−50.
8. Alvarez SZ. Hepatobiliary tuberculosis. J Gastroenterol Hepatol 1998;13:833−9.
9. Jain D, Aggarwal HK, Jain P, et al. Primary hepatic tuberculosis presenting as acute liver failure. Oxf Med Case Reports 2014; 9:153−5.
10. Lagana SM, Moreira RK, Lefkowitch JH. Hepatic granulomas: pathogenesis and differential diagnosis. Clin Liver Dis 2010;14:605−17.
11. Aubry MC. Necrotizing granulomatous inflammation: what does it mean if your special stains are negative? Mod Pathol 2012;25:31−8.
12. Lamps LW. Hepatic granulomas, with an emphasis on infectious causes. Adv Anat Pathol 2008;15:309−18.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
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