胰周结核性淋巴结病。一个造成诊断困难的“冒名顶替者”。
Peripancreatic tuberculous lymphadenopathy. An impostor posing diagnostic difficulty.
作者信息
Cherian Jijo Velliyappillil, Somasundaram Aravindh, Ponnusamy Rajesh Prabhu, Venkataraman Jayanthi
机构信息
Department of Gastroenterology, Stanley Medical College, Chennai, India.
出版信息
JOP. 2007 May 9;8(3):326-9.
CONTEXT
Involvement of the peripancreatic lymph nodes by tuberculosis is rare and the clinical presentation varies. It can mimic cystic neoplasms of the pancreas.
CASE REPORT
We report the case of a patient having peripancreatic tuberculosis who presented with fever, jaundice, supraclavicular lymphadenopathy and weight loss. Imaging and tumor markers also suggested a pancreatic malignancy. MRI helped to identify the peripancreatic lymph node involvement and biopsy of the supraclavicular lymph node clinched the diagnosis.
CONCLUSION
Pancreatic and peripancreatic tuberculosis should be considered in the differential diagnosis of cystic lesions of the head of the pancreas.
背景
胰腺周围淋巴结结核累及较为罕见，临床表现各异，可酷似胰腺囊性肿瘤。
病例报告
我们报告一例胰腺周围结核患者，表现为发热、黄疸、锁骨上淋巴结肿大及体重减轻。影像学检查和肿瘤标志物检查也提示胰腺恶性肿瘤。磁共振成像（MRI）有助于明确胰腺周围淋巴结受累情况，锁骨上淋巴结活检确诊了该病。
结论
在胰腺头部囊性病变的鉴别诊断中应考虑胰腺及胰腺周围结核。
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