The pancreas and tuberculosis: a diagnostic challenge. |
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Authors: | Arun Wesley Solkar David Anu Eapen Frederick L Vyas Philip Joseph Venkatramani Sitaram |
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Affiliation: | Department of Surgery, Christian Medical College, Vellore, India. arunwsdavid@yahoo.com |
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Abstract: | Pancreatic tuberculosis is often mistaken for malignancy and can pose a diagnostic challenge. A high degree of suspicion is necessary to diagnose this condition which responds well to anti-tuberculosis treatment (ATT). Fine-needle aspiration cytology helps to differentiate malignancy from treatable conditions like tuberculosis. Records of four patients treated for pancreatic tuberculosis between 1997 and 2006 were studied. All patients had a pancreatic mass which was suspected to be malignant at imaging. The diagnosis of tuberculosis was established by FNAC in one case and after laparotomy in one; two had tuberculosis of other systems. All showed good response to ATT which included resolution of the pancreatic mass over mean follow up of 2 years. We suggest that all inoperable masses of the pancreas should be subjected to FNAC to rule out treatable conditions like pancreatic tuberculosis. |
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