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KMID : 0371320050680060522
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Journal of the Korean Surgical Society
2005 Volume.68 No. 6 p.522 ~ p.525
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Pancreatic Tuberculosis with Microcystic Adenoma
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김성흔/Kim SH
이학윤/박기재/김영훈/이진화/노미숙/Lee HY/Park KJ/Kim YH/Lee JH/Roh MS
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Abstract
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Tuberculosis of the pancreas is a rare disorder. The clinical presentation of pancreatic tuberculosis include nonspecific symptoms such as fever, fatigue and weight loss. The radiological features mimic pancreatic malignancy or pancreatitis. So, the diagnosis of pancreatic tuberculosis is very difficult. A 62-year-old man was referred for pancreatic mass. Findings on preoperative imaging modalities were consistent with pancreatic carcinoma, and fine needle aspiration test indicated microcystic adenoma or carcinoma. Pylorus-preserving pancreaticoduodenectomy was done. Final diagnosis was pancreatic tuberculosis combined with microcystic adenoma. We conclude in that patients who have a mass in the pancreas, pancreatic tuberculosis should be considered, particularly in the developing country and immunosuppressed individuals. (J Korean Surg Soc 2005;68:522-525)
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KEYWORD
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