Pancreatic tuberculosis masquerading as pancreatic serous cystadenoma.
Solitary pancreatic involvement of tuberculosis is rare, especially in an immunocompetent individual, and it may be misdiagnosed as pancreatic cystic neoplasms. Pancreatic cystic neoplasms are being identified in increasing numbers, probably because of the frequent use of radiology and advances in endoscopic techniques. However, they are composed of a variety of neoplasms with a wide range of malignant potential, and it is often difficult to differentiate pancreatic tuberculosis mimicking cystic neoplasms from benign or malignant pancreatic cystic neoplasms. Non-surgical diagnosis of pancreatic tuberculosis is inconclusive and continues to be a challenge in many cases. If so, then laparotomy should be employed to establish the diagnosis. Therefore, pancreatic tuberculosis should be kept in mind during the differential diagnosis of solitary cystic masses in the pancreas. We report a patient who had solitary pancreatic tuberculosis masquerading as pancreatic serous cystadenoma.
Hong
Seung-Goun
SG
Department of Internal Medicine, Korea University College of Medicine, Guro-Gu, Seoul, South Korea.
Kim
Jae-Seon
JS
Joo
Moon-Kyung
MK
Lee
Kwang-Gyun
KG
Kim
Key-Hyeon
KH
Oh
Cho-Rong
CR
Park
Jong-Jae
JJ
Bak
Young-Tae
YT
D000995:Antitubercular Agents / Q000627:therapeutic use; D002114:Calcinosis / Q000000981:diagnostic imaging; D003537:Cystadenoma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D009164:Mycobacterium Infections / Q000175:diagnosis* / Q000188:drug therapy; D010182:Pancreatic Diseases / Q000188:drug therapy / Q000382:microbiology*; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography; D016896:Treatment Outcome; D014376:Tuberculosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014463:Ultrasonography
D000995:Antitubercular Agents