Coexistence of Pancreatic Carcinoma and Pancreatic Tuberculosis: Case Report.
- Author:
Zhen Jiang ZHENG
1
;
Hao ZHANG
;
Guang Ming XIANG
;
Jun GONG
;
Gang MAI
;
Xu Bao LIU
Author Information
1. Department of Hepatobiliopancreatic Surgery, West China Hospital, Sichuan University, Chengdu, China. xbliu@medmail.com.cn
- Publication Type:Case Report
- Keywords:
Fine needle aspiration biopsy;
Laparotomy;
Pancreatic carcinoma;
Pancreatic mass;
Pancreatic tuberculosis
- MeSH:
Adult;
Biopsy;
Biopsy, Fine-Needle;
Follow-Up Studies;
Head;
Humans;
Laparotomy;
Male;
Pancreas;
Pancreatic Neoplasms;
Spleen;
Tuberculosis
- From:Gut and Liver
2011;5(4):536-538
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
