title: Pancreatic tuberculosis diagnosed by EUS: one disease, many faces.
abstract: BACKGROUND
  Pancreatic/para-pancreatic tuberculosis is an extremely rare clinical entity even in endemic regions. It can present as a cystic or solid pancreatic mass mimicking pancreatic malignancy. There are no specific imaging criteria and the clinical symptoms remain vague. Therefore, most cases are diagnosed after surgical exploration for presumed pancreatic neoplasia.
  
  
  METHODS
  We report five cases of pancreatic tuberculosis each time with a different clinical presentation, in an occidental country setting where the diagnosis was done by EUS guided FNA (EUS-FNA).
  
  
  CONCLUSIONS
  EUS-FNA is a safe and promising technique for the diagnosis of pancreatic/para-pancreatic tuberculosis, avoiding unnecessary surgery.
authors.affiliation: Department of Gastroenterology, Oncology and Hepatology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. haydeh.vafazanjani@erasme.ulb.ac.be
authors.forename: Haydeh
authors.initials: H
authors.lastname: Vafa
authors.forename: Marianna
authors.initials: M
authors.lastname: Arvanitakis
authors.forename: Celso
authors.initials: C
authors.lastname: Matos
authors.forename: Pieter
authors.initials: P
authors.lastname: Demetter
authors.forename: Pierre
authors.initials: P
authors.lastname: Eisendrath
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Toussaint
authors.forename: Axel-Benoit
authors.initials: AB
authors.lastname: Hittelet
authors.forename: Jacques
authors.initials: J
authors.lastname: Deviere
authors.forename: Myriam
authors.initials: M
authors.lastname: Delhaye
mesh_terms: D000293:Adolescent; D000328:Adult; D003937:Diagnosis, Differential; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000473:pathology*; D010181:Pancreatic Cyst / Q000175:diagnosis; D010182:Pancreatic Diseases / Q000175:diagnosis / Q000473:pathology*; D010190:Pancreatic Neoplasms / Q000175:diagnosis; D014376:Tuberculosis / Q000175:diagnosis / Q000473:pathology*; D055815:Young Adult