Case Report : Coexistence of Pancreatic Carcinoma and Pancreatic Tuberculosis: Case Report

Pancreatic tuberculosis (TB) is extremely rare and mimics pancreatic carcinoma both clinically and radiologically. This paper discusses the occurrence of 2 heterogeneous masses located in the head and tail of the pancreas in an adult male. In this patient, laparotomy was performed because of the hig...

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Bibliographic Details
Published in:Gut and liver 2011-12, Vol.5 (4), p.536
Main Authors: Zhen Jiang Zheng, Hao Zhang, Guang Ming Xiang, Jun Gong, Gang Mai, Xu Bao Liu
Format: Article
Language:Korean
Subjects:
Fine needle aspiration biopsy
Laparotomy
Pancreatic carcinoma
Pancreatic mass
Pancreatic tuberculosis
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Summary:Pancreatic tuberculosis (TB) is extremely rare and mimics pancreatic carcinoma both clinically and radiologically. This paper discusses the occurrence of 2 heterogeneous masses located in the head and tail of the pancreas in an adult male. In this patient, laparotomy was performed because of the high suspicion of pancreatic carcinoma. Intraoperative fine needle aspiration biopsy revealed the coexistence of pancreatic carcinoma with pancreatic TB, and a combined resection of the distal pancreas and spleen was successfully performed. Following surgery, the patient received standard chemotherapy for TB. At 7-month follow-up, computed tomography showed resolution of the mass in the pancreatic head. Clinicians must maintain a high index of suspicion for pancreatic TB in patients with pancreatic masses. The coexistence of malignancy and TB should be considered when patients present with multiple pancreatic masses. (Gut Liver 2011;5:536-538)
ISSN:1976-2283