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, 5 (4), 536-8

Coexistence of Pancreatic Carcinoma and Pancreatic Tuberculosis: Case Report

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Coexistence of Pancreatic Carcinoma and Pancreatic Tuberculosis: Case Report

Zhen-Jiang Zheng et al. Gut Liver.

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.

Keywords: Fine needle aspiration biopsy; Laparotomy; Pancreatic carcinoma; Pancreatic mass; Pancreatic tuberculosis.

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
A contrast-enhanced computed tomography scan shows 2 heterogeneous masses in the head and tail of the pancreas.
Fig. 2
Fig. 2
Biopsy specimens from the mass of the pancreatic head shows caseating granulomas and Langerhans giant cells (arrow) (H&E stain, ×100).
Fig. 3
Fig. 3
This histological section demonstrates an appearance consistent with moderate differentiated adenocarcinoma (H&E stain, ×50).
Fig. 4
Fig. 4
Follow-up computed tomography scan 7 months later shows resolution of the mass in the pancreatic head.

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