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  • Title: Hepatic lesions in an elderly woman - cancer isn't always the answer.
    Author: Zayer S, Koberstein B, Pohle T.
    Journal: Z Gastroenterol; 2011 Jan; 49(1):39-41. PubMed ID: 21225536.
    Abstract:
    Multiple hepatic lesions in an elderly woman usually suggest metastatic malignant disease, in most situations already beyond cure. However, we present the case of an 81-year-old female in whom histopathology verified granulomas and PCR proved hepatic tuberculosis. Tuberculostatic quadruple therapy resulted in complete remission. Isolated hepatic tuberculosis is rare, especially in HIV-negative subjects living in areas of low tuberculosis prevalence. This case highlights the need to histopathologically confirm malignancy as withholding therapy would have been deleterious in this curable patient.
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