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Peripancreatic Tuberculous Lymphadenitis Diagnosed via Endoscopic Ultrasound-guided Fine-needle Aspiration and Polymerase Chain Reaction
We performed endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) on a patient presenting with an asymptomatic peripancreatic mass-like lesion. The aspiration cytologic finding was class II. On positron emission tomography-computed tomography (PET-CT), there were hot spots in the left supra...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Japanese Society of Internal Medicine
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478565/ https://www.ncbi.nlm.nih.gov/pubmed/28458310 http://dx.doi.org/10.2169/internalmedicine.56.7509 |
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author | Arai, Jun Kitamura, Katsuya Yamamiya, Akira Ishii, Yu Nomoto, Tomohiro Honma, Tadashi Ishida, Hiroo Shiozawa, Eisuke Takimoto, Masafumi Yoshida, Hitoshi |
author_facet | Arai, Jun Kitamura, Katsuya Yamamiya, Akira Ishii, Yu Nomoto, Tomohiro Honma, Tadashi Ishida, Hiroo Shiozawa, Eisuke Takimoto, Masafumi Yoshida, Hitoshi |
author_sort | Arai, Jun |
collection | PubMed |
description | We performed endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) on a patient presenting with an asymptomatic peripancreatic mass-like lesion. The aspiration cytologic finding was class II. On positron emission tomography-computed tomography (PET-CT), there were hot spots in the left supra-clavicular lymph node and the peripancreatic lesion. A whole biopsy of the left supra-clavicular lymph node revealed tuberculous lymphadenitis. Polymerase chain reaction (PCR) using tissue obtained via EUS-FNA showed that the peripancreatic mass-like lesion was also positive for tuberculosis. We made a diagnosis of peripancreatic tuberculous lymphadenitis. In patients with enlarged lymph nodes, including those in the abdominal area, tuberculous lymphadenitis is a potential diagnosis. |
format | Online Article Text |
id | pubmed-5478565 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-54785652017-06-21 Peripancreatic Tuberculous Lymphadenitis Diagnosed via Endoscopic Ultrasound-guided Fine-needle Aspiration and Polymerase Chain Reaction Arai, Jun Kitamura, Katsuya Yamamiya, Akira Ishii, Yu Nomoto, Tomohiro Honma, Tadashi Ishida, Hiroo Shiozawa, Eisuke Takimoto, Masafumi Yoshida, Hitoshi Intern Med Case Report We performed endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) on a patient presenting with an asymptomatic peripancreatic mass-like lesion. The aspiration cytologic finding was class II. On positron emission tomography-computed tomography (PET-CT), there were hot spots in the left supra-clavicular lymph node and the peripancreatic lesion. A whole biopsy of the left supra-clavicular lymph node revealed tuberculous lymphadenitis. Polymerase chain reaction (PCR) using tissue obtained via EUS-FNA showed that the peripancreatic mass-like lesion was also positive for tuberculosis. We made a diagnosis of peripancreatic tuberculous lymphadenitis. In patients with enlarged lymph nodes, including those in the abdominal area, tuberculous lymphadenitis is a potential diagnosis. The Japanese Society of Internal Medicine 2017-05-01 /pmc/articles/PMC5478565/ /pubmed/28458310 http://dx.doi.org/10.2169/internalmedicine.56.7509 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Arai, Jun Kitamura, Katsuya Yamamiya, Akira Ishii, Yu Nomoto, Tomohiro Honma, Tadashi Ishida, Hiroo Shiozawa, Eisuke Takimoto, Masafumi Yoshida, Hitoshi Peripancreatic Tuberculous Lymphadenitis Diagnosed via Endoscopic Ultrasound-guided Fine-needle Aspiration and Polymerase Chain Reaction |
title | Peripancreatic Tuberculous Lymphadenitis Diagnosed via Endoscopic Ultrasound-guided Fine-needle Aspiration and Polymerase Chain Reaction |
title_full | Peripancreatic Tuberculous Lymphadenitis Diagnosed via Endoscopic Ultrasound-guided Fine-needle Aspiration and Polymerase Chain Reaction |
title_fullStr | Peripancreatic Tuberculous Lymphadenitis Diagnosed via Endoscopic Ultrasound-guided Fine-needle Aspiration and Polymerase Chain Reaction |
title_full_unstemmed | Peripancreatic Tuberculous Lymphadenitis Diagnosed via Endoscopic Ultrasound-guided Fine-needle Aspiration and Polymerase Chain Reaction |
title_short | Peripancreatic Tuberculous Lymphadenitis Diagnosed via Endoscopic Ultrasound-guided Fine-needle Aspiration and Polymerase Chain Reaction |
title_sort | peripancreatic tuberculous lymphadenitis diagnosed via endoscopic ultrasound-guided fine-needle aspiration and polymerase chain reaction |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478565/ https://www.ncbi.nlm.nih.gov/pubmed/28458310 http://dx.doi.org/10.2169/internalmedicine.56.7509 |
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