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酷似胰腺恶性肿瘤的胰腺结核:外科医生的困境

Pancreatic tuberculosis mimicking as pancreatic malignancy: Surgeon's dilemma.

作者信息

T Siddeek Rohik Anjum, Gupta Amit, Singla Tanuj, Rajput Deepak, Ahmed Shaik Sameer, Jeladharan Reshma

机构信息

Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Department of Pathology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

出版信息

Indian J Pathol Microbiol. 2023 Jul-Sep;66(3):614-617. doi: 10.4103/ijpm.ijpm_874_21.

Abstract

Pancreatic tuberculosis is a rare form of Tuberculosis (TB) which requires a high index of suspicion to diagnose. Here, we report a case of middle-aged gentleman presenting with abdominal pain and constitutional symptoms who was diagnosed with pancreatic tuberculosis on imaging, which was confirmed by Fine Needle Aspiration (FNA) from the lesion. The patient was given Anti-Tubercular Treatment (ATT) as per conventional protocol. Follow-up showed recovery from the entity. A review of patient presentation, patho-physiology, diagnosis, and management of pancreatic tuberculosis is mentioned in this article.

摘要

胰腺结核是一种罕见的结核病形式,诊断时需要高度怀疑。在此,我们报告一例中年男性患者,他因腹痛和全身症状就诊,影像学检查诊断为胰腺结核,病变细针穿刺抽吸(FNA)确诊。患者按照传统方案接受了抗结核治疗(ATT)。随访显示病情康复。本文提及了对胰腺结核患者临床表现、病理生理学、诊断及治疗的综述。

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