Tuberculosis of the pancreas presenting as metastatic pancreatic carcinoma - A case report and review of the literature
Tuberculosis of the pancreas presenting as metastatic pancreatic carcinoma - A case report and review of the literature
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DOI：
10.1159/000018828
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发表时间：
2000-01-01
影响因子：
2.7
通讯作者：
Neoptolemos, JP
中科院分区：
文献类型：
--
作者：
Evans, JD;Hamanaka, Y;Neoptolemos, JP
胰腺结核（TB）非常罕见，经常被误诊。胰腺结核的情况下，连同所有以前发表的情况下审查。一名54岁的印度男性，有胰腺癌病史。放射学检查发现一个“不可切除的”胰腺肿块，伴有肋骨和脊柱的骨性病变。然而，内窥镜逆行全身造影正常，这促使组织活检显示结核病的诊断，并通过化疗成功治疗。胰腺结核应被考虑，特别是在那些非白人血统的患者中，这些患者相对年轻，胰腺疾病史短，无阻塞性黄疸。一个正常的内镜逆行胰胆管造影应提出严重的怀疑，以接受诊断更常见的胰腺疾病，往往模仿胰腺结核。版权所有（C）2000 S. Karger AG，巴塞尔。
Pancreatic tuberculosis (TB) is extremely rare and is frequently misdiagnosed. A case of pancreatic TB is presented together with a review of all previously published cases. A 54-year-old Indian man presented with a history consistent with pancreatic cancer. Radiology revealed an 'unresectable' pancreatic mass associated with bony lesions in the ribs and vertebral column. Endoscopic retrograde pan creatography was normal however which prompted a tissue biopsy revealing a diagnosis of TB which was successfully treated by chemotherapy. TB of the pancreas should be considered especially in those patients of non-White ethnic origin who are relatively young with a short history of pancreatic disease in the absence of obstructive jaundice. A normal endoscopic retrograde cholangiopancreatography should raise serious doubts as to accepting a diagnosis of more common pancreatic diseases which are frequently mimicked by pancreatic TB. Copyright (C) 2000 S. Karger AG, Basel.