Gut Liver.  2011 Dec;5(4):536-538.

Coexistence of Pancreatic Carcinoma and Pancreatic Tuberculosis: Case Report

• Zheng ZJ
• Zhang H
• Xiang GM
• Gong J
• Mai G
• Liu XB

Abstract

Pancreatic tuberculosis (TB) is extremely rare and mimics pancreatic carcinoma both clinically and radiologically. This paper discusses the occurrence of 2 heterogeneous masses located in the head and tail of the pancreas in an adult male. In this patient, laparotomy was performed because of the high suspicion of pancreatic carcinoma. Intraoperative fine needle aspiration biopsy revealed the coexistence of pancreatic carcinoma with pancreatic TB, and a combined resection of the distal pancreas and spleen was successfully performed. Following surgery, the patient received standard chemotherapy for TB. At 7-month follow-up, computed tomography showed resolution of the mass in the pancreatic head. Clinicians must maintain a high index of suspicion for pancreatic TB in patients with pancreatic masses. The coexistence of malignancy and TB should be considered when patients present with multiple pancreatic masses.

Keyword

Fine needle aspiration biopsy; Laparotomy; Pancreatic carcinoma; Pancreatic mass; Pancreatic tuberculosis

MeSH Terms

Adult
Biopsy
Biopsy, Fine-Needle
Follow-Up Studies
Head
Humans
Laparotomy
Male
Pancreas
Pancreatic Neoplasms
Spleen
Tuberculosis
Pancreatic Neoplasms