title: Co-existence of peri-ampullary carcinoma with peripancreatic tuberculous lymphadenopathy.
abstract: BACKGROUND
  Pancreatic tuberculosis and peripancreatic tuberculous lymphadenitis are rare, mimicking various pathologies of the pancreas. The coexistence of peri-ampullary malignancy with peripancreatic tuberculous lymphadenitis has not been reported.
  
  
  METHODS
  We present the case of a young woman who had been operated on with a preoperative diagnosis of peri-ampullary adenocarcinoma in whom a frozen section of regional lymph nodes revealed tuberculosis. The final pathology confirmed the co-existence of tuberculosis with malignancy. The patient made an uneventful recovery.
  
  
  CONCLUSIONS
  In countries with high endemicity for tuberculosis, the co-existence of malignancy and tuberculosis should be considered and resection, which is the only chance for cure, should not be abandoned due to observations based solely on frozen sections.
authors.affiliation: Department of Surgery, PD Hinduja Hospital and Medical Research Center, Mumbai, India.
authors.forename: Chirag S
authors.initials: CS
authors.lastname: Desai
authors.forename: Murad
authors.initials: M
authors.lastname: Lala
authors.forename: Anand
authors.initials: A
authors.lastname: Joshi
authors.forename: Philip
authors.initials: P
authors.lastname: Abraham
authors.forename: Devendra
authors.initials: D
authors.lastname: Desai
authors.forename: Ramesh B
authors.initials: RB
authors.lastname: Deshpande
authors.forename: Sudeep R
authors.initials: SR
authors.lastname: Shah
mesh_terms: D000328:Adult; D014670:Ampulla of Vater / Q000473:pathology*; D003138:Common Bile Duct Neoplasms / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006115:Greece; D006801:Humans; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000175:diagnosis; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000175:diagnosis