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Liver tuberculosis mistaken for malignancy The role of needle biopsy

Journal Volume 73 - 2010
Issue Fasc.2 - Case reports
Author(s) S. Landen, T. Ballet, P. Bollars, B. Badic, D. Herman, V. Delugeau
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(1) Department of Surgery, St Elisabeth Hospital, Brussels, Belgium ; (2) Department of Surgery, Institut Edith Cavell, Brussels, Belgium ; (3) Department of Surgery, Centre Hospitalier des Ardennes, Libramont, Belgium ; (4) Clinique La Ramée, Brussels, Belgium.

Despite advances in imaging techniques rare or atypical liver lesions still pose a diagnostic challenge. In many centres percuta- neous fine needle aspiration cytology or biopsy is routinely per- formed in order to obtain a definitive diagnosis. However because of the risk of tumour seeding along the needle tract this attitude may jeopardize the patient's chances for cure in case of malignan- cy. The role of percutaneous liver biopsy is reappraised in the light of an observation in which major hepatectomy was performed for suspected neoplasia only to discover at pathology that the lesion was a benign tuberculosis pseudotumour. (Acta gastroenterol. belg., 2010, 73, 278-279).

© Acta Gastro-Enterologica Belgica.
PMID 20690570