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Mediastinal lymphadenopathy in ampullary adenocarcinoma: not always metastatic

Malignancies can metastasize through hematogenous or lymphatic routes. Enlarged lymph nodes in a known case of malignancy do not always imply metastasis. A middle-aged female patient presented to us with abdominal pain and jaundice. Investigation revealed ampullary growth due to adenocarcinoma. Posi...

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Autores principales: Rao, Chalapathi A.S., Rana, Surinder S., Bhasin, Deepak K., Nada, Ritambhra, Sampath, Santosh, Mittal, Bhagwant R., Sharma, Vishal, Dhaliwal, Harpal S., Singh, Kartar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hellenic Society of Gastroenterology 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959392/
https://www.ncbi.nlm.nih.gov/pubmed/24714280
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author Rao, Chalapathi A.S.
Rana, Surinder S.
Bhasin, Deepak K.
Nada, Ritambhra
Sampath, Santosh
Mittal, Bhagwant R.
Sharma, Vishal
Dhaliwal, Harpal S.
Singh, Kartar
author_facet Rao, Chalapathi A.S.
Rana, Surinder S.
Bhasin, Deepak K.
Nada, Ritambhra
Sampath, Santosh
Mittal, Bhagwant R.
Sharma, Vishal
Dhaliwal, Harpal S.
Singh, Kartar
author_sort Rao, Chalapathi A.S.
collection PubMed
description Malignancies can metastasize through hematogenous or lymphatic routes. Enlarged lymph nodes in a known case of malignancy do not always imply metastasis. A middle-aged female patient presented to us with abdominal pain and jaundice. Investigation revealed ampullary growth due to adenocarcinoma. Positron emission tomography-computerized tomography scan revealed uptake of the tracer in the ampullary region as well as in enlarged mediastinal lymph nodes. Endoscopic ultrasound-guided fine needle aspiration cytology of the mediastinal lymphadenopathy revealed it to be tuberculous. Mere radiologic evidence of a distant nodal spread must not be regarded as final evidence and obtaining a tissue diagnosis should be strongly considered, as potentially curative therapy may be offered.
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spelling pubmed-39593922014-04-07 Mediastinal lymphadenopathy in ampullary adenocarcinoma: not always metastatic Rao, Chalapathi A.S. Rana, Surinder S. Bhasin, Deepak K. Nada, Ritambhra Sampath, Santosh Mittal, Bhagwant R. Sharma, Vishal Dhaliwal, Harpal S. Singh, Kartar Ann Gastroenterol Case Report Malignancies can metastasize through hematogenous or lymphatic routes. Enlarged lymph nodes in a known case of malignancy do not always imply metastasis. A middle-aged female patient presented to us with abdominal pain and jaundice. Investigation revealed ampullary growth due to adenocarcinoma. Positron emission tomography-computerized tomography scan revealed uptake of the tracer in the ampullary region as well as in enlarged mediastinal lymph nodes. Endoscopic ultrasound-guided fine needle aspiration cytology of the mediastinal lymphadenopathy revealed it to be tuberculous. Mere radiologic evidence of a distant nodal spread must not be regarded as final evidence and obtaining a tissue diagnosis should be strongly considered, as potentially curative therapy may be offered. Hellenic Society of Gastroenterology 2012 /pmc/articles/PMC3959392/ /pubmed/24714280 Text en Copyright: © Hellenic Society of Gastroenterology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Rao, Chalapathi A.S.
Rana, Surinder S.
Bhasin, Deepak K.
Nada, Ritambhra
Sampath, Santosh
Mittal, Bhagwant R.
Sharma, Vishal
Dhaliwal, Harpal S.
Singh, Kartar
Mediastinal lymphadenopathy in ampullary adenocarcinoma: not always metastatic
title Mediastinal lymphadenopathy in ampullary adenocarcinoma: not always metastatic
title_full Mediastinal lymphadenopathy in ampullary adenocarcinoma: not always metastatic
title_fullStr Mediastinal lymphadenopathy in ampullary adenocarcinoma: not always metastatic
title_full_unstemmed Mediastinal lymphadenopathy in ampullary adenocarcinoma: not always metastatic
title_short Mediastinal lymphadenopathy in ampullary adenocarcinoma: not always metastatic
title_sort mediastinal lymphadenopathy in ampullary adenocarcinoma: not always metastatic
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959392/
https://www.ncbi.nlm.nih.gov/pubmed/24714280
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