Diagnosis of isolated pancreatic tuberculosis: the role of EUS-guided FNA cytology
| Autor: | Ragesh Babu Thandassery, Mohammed A. Eloubeidi, Randhir Sud, Rajesh Puri |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Miliary tuberculosis Pathology medicine.medical_specialty Tuberculosis Biopsy Fine-Needle Endosonography Mycobacterium tuberculosis Tuberculosis diagnosis Pancreatic cancer medicine Pancreatic mass Humans Radiology Nuclear Medicine and imaging Ultrasonography Interventional Retrospective Studies Granuloma biology business.industry Gastroenterology Pancreatic Diseases Middle Aged biology.organism_classification medicine.disease medicine.anatomical_structure Female CA19-9 Tomography X-Ray Computed Pancreas business |
| Zdroj: | Gastrointestinal Endoscopy. 75:900-904 |
| ISSN: | 0016-5107 |
| DOI: | 10.1016/j.gie.2011.12.026 |
| Popis: | m A g t c b s r e e t ( t About 12.5% of all patients with tuberculosis (TB) have extrapulmonary disease. Abdominal TB accounts for 11% to 16% of patients with extrapulmonary TB. Abdominal B commonly affects the liver, spleen, and ileocecal reion. Pancreatic and/or peripancreatic involvement of TB s very rare, even in areas where TB is endemic.2-4 Isolated pancreatic tuberculosis is an extremely rare entity. Bhansali,5 in a series of 300 miliary tuberculosis patients over 12 years in India, did not reveal even 1 with pancreatic involvement. This is probably because of the antibacterial effect of the pancreatic enzymes.6 The pandemic of IV infection has led to increased incidence of tuberculois. Increased use of immunosuppressants also contributes o increased occurrence of TB.7-10 Autopsy series of patients with miliary TB showed pancreatic/peripancreatic involvement in only 2.1% to 4.7%.11,12 Tubercular involveent of the pancreas occurs as a result of contiguous pread from adjacent organs or lymph nodes, lymphoheatogenous dissemination, and reactivation of a previous ormant focus or immune reaction to generalized tuberulosis.13,14 The pancreas may be directly involved with eripancreatic or periportal tubercular lymphadenitis.15 Pancreatic TB can present as a cystic or solid pancreatic mass that mimics pancreatic cancer, which makes it difficult to differentiate these two conditions.15,16 A correct diagnosis is crucial for proper treatment and to avoid |
| Databáze: | OpenAIRE |
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