Coriat R, Latournerie M, Galtier J-B, Michiels C, Hillon P, Manfredi S
Service d'hépato-gastroentérologie, CHRU le Bocage, boulevard Maréchal-de-Lattre-de-Tassigny, 21000 Dijon, France.
Gastroenterol Clin Biol. 2008 Jan;32(1 Pt. 1):98-101. doi: 10.1016/j.gcb.2007.12.009. Epub 2008 Mar 4.
The diagnosis of an abdominal mass using imaging techniques is difficult for clinicians and radiologists. We report a case of an atypical peripancreatic mass, mimicking a carcinoma on abdominal computed tomography and which was only diagnosed after an echoendoscopic biopsy of the mass was performed. It is difficult to differentiate abdominal tuberculosis from a neoplasm, especially if there is no pulmonary tuberculosis. Usually, the diagnosis of abdominal tuberculosis is only confirmed histologically, after surgical resection of the mass. Echoendoscopic biopsy confirmed the infectious nature of the mass and prevented complicated and difficult surgery.
对于临床医生和放射科医生而言，运用成像技术诊断腹部肿块颇具难度。我们报告一例非典型胰周肿块病例，该肿块在腹部计算机断层扫描上酷似癌，仅在对肿块进行超声内镜活检后才得以确诊。腹部结核与肿瘤难以鉴别，尤其是在没有肺结核的情况下。通常，腹部结核只有在对肿块进行手术切除后，通过组织学检查才能确诊。超声内镜活检证实了肿块的感染性质，避免了复杂且困难的手术。
