(Journal Article): Co-Existence of Peri-Ampullary Carcinoma with Peripancreatic Tuberculous Lymphadenopathy
 
Desai CS, Lala M, Joshi A, Abraham P, Desai D, Deshpande RB, Shah S (Departments of Surgery, Gastroenterology and Surgical Pathology, PD Hinduja Hospital and Medical Research Center. Mumbai, India, shahsudeep@hotmail.com )
 
IN: JOP. J Pancreas (Online) 2004; 05(3):145-147

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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.

TYPE OF PUBLICATION: Case Report