Intra-Abdominal Tuberculous Lymphadenitis Diagnosed Using an Endoscopic Ultrasonography-Guided ProCore Needle Biopsy.

Author: Tae Hee LEE ¹ ; Joo Young CHO ; Gene Hyun BOK ; Won Young CHO ; So Young JIN
Author Information

1. Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul, Korea. cjy6695@dreamwiz.com
Publication Type:Case Report
Keywords: Endosonography; Fine needle biopsy; Tuberculosis
MeSH: Biopsy, Fine-Needle; Biopsy, Needle; Cytogenetics; Endosonography; Flow Cytometry; Hydrazines; Lymph Nodes; Lymphoma; Needles; Pancreatic Neoplasms; Tuberculosis; Tuberculosis, Lymph Node
From:Clinical Endoscopy 2013;46(1):77-80
CountryRepublic of Korea
Language:English
Abstract: Intra-abdominal tuberculous lymphadenitis can mimic a variety of other abdominal disorders such as pancreatic cancer, metastatic lymph nodes, or lymphoma, which can make a proper diagnosis difficult. A correct diagnosis of intra-abdominal tuberculous lymphadenitis can lead to appropriate management. Endoscopic ultrasonography (EUS)-guided needle biopsy may be the procedure of choice for tissue acquisition when onsite cytopathology examination is unavailable because it is essential to obtain sufficient material suitable for the examination using an ancillary method, such as flow cytometry, molecular diagnosis, cytogenetics, or microbiological culture. We report a case of intra-abdominal tuberculous lymphadenitis diagnosed using an EUS-guided, 22-gauge histology new needle biopsy without an onsite cytopathology examination.