Co-existence of peri-ampullary carcinoma with peripancreatic tuberculous lymphadenopathy.
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.
Desai
Chirag S
CS
Department of Surgery, PD Hinduja Hospital and Medical Research Center, Mumbai, India.
Lala
Murad
M
Joshi
Anand
A
Abraham
Philip
P
Desai
Devendra
D
Deshpande
Ramesh B
RB
Shah
Sudeep R
SR
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