A CASE OF SOLITARY TUBERCULOSIS OF THE SPLEEN

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  • 孤立性脾結核の1例

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Abstract

Splenic tuberculosis is secondary to milliary tuberculosis in most cases. Solitary tuberculosis of the spleen is extremely rare.<br> A 55-year-old woman with rheumatoid arthritis was seen at the hospital because of weight loss. Abdominal computed tomography and sonography revealed splenic mass lesions with moderate splenomegaly. Splenectomy was carried out, because these findings were suggestive of splenic neoplasm such as malignant lymphoma. Mutiple whitish nodules varying from 0.5-3cm in diameter were found in the resected spleen. Histopathological exmanination of the spleen showed the typical tuberculoma. No abnormal findings were found in any other organs after the operation, and so the patient was diagnosed as having solitary tuberculosis of the spleen. Antituberculous chemotherapy was given for 6 months.<br> Tuberculosis is decreasing in these days, but splenic tuberculosis should be included in probable differential diagnoses of splenic tumor or abscess.

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