PANCREATIC TUBERCULOSIS AND ITS DIAGNOSIS BY ENDOSCOPIC ULTRASONOGRAPHY: REPORT OF TWO CASES AND REVIEW OF THE LITERATURE |
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| Authors: | Pramod Kumar Garg Paolo Giorgio Arcidiacono Amit Singhal Vikram Bhatia Sandeep R Mathur |
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| Institution: | 1. Departments of Gastroenterology and;2. Division of Gastroenterology and Gastrointestinal Endoscopy, Vita‐Salute San Raffaele University‐San Raffaele Hospital, Milan, Italy;3. Pathology, All India Institute of Medical Sciences, New Delhi, India;4. and |
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| Abstract: | Mass lesions in the head of the pancreas are generally malignant and it is difficult to diagnose benign lesions preoperatively. We describe two patients with pancreatic tuberculosis, who presented with abdominal pain, jaundice and a pancreatic head mass, mimicking cancer. The correct diagnosis could be made by endoscopic ultrasonography (EUS) and EUS‐guided fine‐needle aspiration (FNA) cytology in both patients, precluding the need for surgery. Both patients responded well to anti‐tuberculosis treatment. We conclude that EUS with guided FNA is a useful modality to diagnose pancreatic tuberculosis. |
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| Keywords: | endoscopic ultrasonography (EUS) fine‐needle aspiration (FNA) pancreatic tuberculosis |
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