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Primary hepatic tuberculosis: A rare occurrence
Ann Hepatobiliary Pancreat Surg 2019 Feb;23(1):80-3
Published online February 28, 2019;
Copyright © 2019 Korean Association of Hepato-Biliary-Pancreatic Surgery.

Devayani Niyogi, Mahesh Goel, Rajesh S Shinde, and Shraddha Patkar

GI & HPB Service, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India
Received June 13, 2018; Revised October 14, 2018; Accepted October 22, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Primary hepatic tuberculosis is a rare entity and can closely mimic malignancy with respect to clinical presentation and imaging features. We identified five patients at a high volume tertiary care cancer center, whose clinical features and imaging closely mimicked primary liver malignancy or metastases but final histopathology was suggestive of hepatic tuberculosis. Three patients underwent a surgical resection whereas two were diagnosed on a biopsy. Anti-tuberculosis therapy was started for all the patients which was well tolerated. All patients are doing well at the time of the last follow up. This case series stresses the importance of having a high index of suspicion and preoperative biopsy in cases where imaging features are equivocal.
Keywords : Primary hepatic tuberculosis; Mimic; Malignancy


February 2019, 23 (1)