Primary peripancreatic lymph node tuberculosis as a differential diagnosis of pancreatic neoplasia
| Autor: | Nuria García Del Olmo, Javier Aguiló Lucia, Andrea Boscà Robledo, Elena Añón Iranzo, Rafael Penalba Palmí |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Oncology Abdominal pain medicine.medical_specialty Tuberculosis Neoplasia pancreática Peripancreatic lymph node tuberculosis Tuberculosis Lymph Node Tuberculosis ganglionar peripancreática Endosonography Diagnosis Differential Lesion 03 medical and health sciences 0302 clinical medicine Internal medicine Pancreatic mass medicine Humans lcsh:RC799-869 Pancreatic neoplasm Endoscopic Ultrasound-Guided Fine Needle Aspiration Pancreas medicine.diagnostic_test business.industry Incidence (epidemiology) Gastroenterology Endoscopy Magnetic resonance imaging General Medicine Endoscopic ultrasound medicine.disease Pancreatic Neoplasms 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology lcsh:Diseases of the digestive system. Gastroenterology Radiology medicine.symptom Differential diagnosis business Ecoendoscopia |
| Zdroj: | Revista Española de Enfermedades Digestivas v.109 n.7 2017 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname Revista Espanola de Enfermedades Digestivas, Vol 109, Iss 7, Pp 528-530 |
| Popis: | Primary peripancreatic lymph node tuberculosis is an exceptional entity in immunocompetent patients, but its incidence is increasing in developed countries in recent years due to increasing immigration. It usually presents as a pancreatic mass and is misdiagnosed as pancreatic neoplasia in most cases, with the diagnosis of tuberculosis occurring after surgery. We report the case of a 38 year old Pakistani man with abdominal pain of several months duration, who was initially diagnosed with a pancreatic neoplasm after detecting a mass in the pancreatic isthmus by computed tomography (CT) and abdominal magnetic resonance imaging (MRI). However, after performing an endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB), the patient was diagnosed with peripancreatic lymph node tuberculosis. After receiving anti-tuberculous treatment, the patient presented clinical improvement, despite a small reduction in the lesion size. In conclusion, peripancreatic lymph node tuberculosis is part of the differential diagnosis of pancreatic neoplasia. Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) represents a valuable and useful diagnostic tool for detecting this pathology, avoiding surgeries with a high morbidity and mortality. |
| Databáze: | OpenAIRE |
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