CASE REPORT

JOP. J Pancreas (Online) 2004; 5(3):145-147.

Co-Existence of Peri-Ampullary Carcinoma with Peripancreatic Tuberculous Lymphadenopathy

Chirag S Desai1, Murad Lala1, Anand Joshi2, Philip Abraham2, Devendra Desai2, Ramesh B Deshpande3, Sudeep R Shah1

1Departments of Surgery, 2Gastroenterology and 3Surgical Pathology, PD Hinduja Hospital and Medical Research Center. Mumbai, India

ABSTRACT

Context Pancreatic tuberculosis and peripancreatic tuberculous lymphadenitis are rare, mimicking various pathologies of the pancreas. The coexistence of peri-ampullary malignancy with peripancreatic tuberculous lymphadenitis has not been reported.

Case report We present the case of a young woman who had been operated on with a preoperative diagnosis of peri-ampullary adenocarcinoma in whom a frozen section of regional lymph nodes revealed tuberculosis. The final pathology confirmed the co-existence of tuberculosis with malignancy. The patient made an uneventful recovery.

Conclusion In countries with high endemicity for tuberculosis, the co-existence of malignancy and tuberculosis should be considered and resection, which is the only chance for cure, should not be abandoned due to observations based solely on frozen sections.

Full text  HTML format  PDF format

References

  1. Chaudhary A, Negi SS, Sachdev AK, Gondal R. Pancreatic tuberculosis: still a histopathological diagnosis. Dig Surg 2002; 19:389-92. [More details]

  2. Turan M, Sen M, Koyuncu A, Aydin C, Elaldi N, Arici S. Pancreatic pseudotumor due to peripancreatic tuberculous lymphadenitis. Pancreatology 2002; 2:561-4. [More details]

  3. Bhansali SK. Abdominal tuberculosis. Experience with 300 cases. Am J Gastroenterol 1977; 67:324-37. [More details]

  4. Auerbach O. Acute generalized miliary tuberculosis. Am J Pathol 1944; 210:121-36. [More details]

  5. Evans JD, Hamanaka Y, Olliff SP, Neoptolemos JP. Tuberculosis of the pancreas presenting as metastatic pancreatic carcinoma. A case report and review of the literature. Dig Surg 2000; 17:183-7. [More details]

  6. Sanabe N, Ikematsu Y, Nishiwaki Y, Kida H, Murohisa G, Ozawa T, et al. Pancreatic tuberculosis. J Hepatobiliary Pancreat Surg 2002; 9:515-8. [More details]

  7. Naouri A, Tissot E. Isolated tuberculous retro-duodeno-pancreatic adenopathy simulating a pancreatic tumour: A case report. Ann Chir 1990; 44:480-3. [More details]

  8. Pramesh CS, Heroor AA, Shukla PJ, Jagannath PM, De Souza LJ. Pancreatic tuberculosis. Trop Gastroenterol 2002; 23:142-3. [More details]

KeywordsKeywords Adenocarcinoma; Mycobacterium tuberculosis; Pancreas; Pancreatic Neoplasms; Tuberculosis; Tuberculosis, Gastrointestinal; Tuberculosis, Lymph Node

Correspondence Sudeep R Shah: shahsudeep@hotmail.com