Naisbitt Christopher Jon, Filobbos Rafik, Bonington Alec, O'Reilly Derek
Department of General Surgery, Pennine Acute Trust, Manchester, UK.
BMJ Case Rep. 2013 May 22;2013:bcr2013009933. doi: 10.1136/bcr-2013-009933.
The coexistence of painless jaundice and a space-occupying lesion in the head of the pancreas usually signifies a diagnosis of pancreatic cancer. We present a case, where the cause of a pancreatic mass turned out to be related to tuberculosis. Tuberculosis affecting abdominal organs in isolation is uncommon, and more often forms part of disseminated disease. Pancreatic tuberculosis is very rare, especially in immunocompetent individuals. While every effort should be made to ensure that potentially operable pancreatic cancers undergo prompt surgical excision, the challenge for the future will be to make a preoperative diagnosis of pancreatic conditions that require medical rather than surgical therapy.
无痛性黄疸与胰腺头部占位性病变并存通常意味着胰腺癌的诊断。我们报告一例病例，其中胰腺肿块的病因被证明与结核病有关。孤立性累及腹部器官的结核病并不常见，更多时候是播散性疾病的一部分。胰腺结核非常罕见，尤其是在免疫功能正常的个体中。虽然应尽一切努力确保可能可手术切除的胰腺癌能迅速接受手术切除，但未来的挑战将是对需要药物而非手术治疗的胰腺疾病进行术前诊断。
