Cytologic Diagnosis of Pancreatic Tuberculosis in Immunocompetent and Immunocompromised Patients

Pancreatic Tuberculosis with a Pancreaticobiliary Fistula

“…In 2005, Ahlawat et al identified 116 cases in the English literature from 1966 to 2004 [3]. We found only seven additional cases in 2005 [4,5,[9][10][11]. The review articles showed that men and women are equally affected, and the mean age was approximately 40 years.…”

“…Recently, it was reported that EUS-or CT-guided FNA is helpful for making the diagnosis of pancreatic TB [3,9,13,18,19]. However, the success rate of image-guided percutaneous FNA cytology or biopsy in diagnosing pancreatic tuberculosis is <50% [3].…”

Pancreatic tuberculosis masquerading as pancreatic carcinoma in two cases: role of fine needle aspiration cytology in diagnosis

“…Its reported incidence in the literature varies from 0 to 4.7%. 2,5 We present two cases of TB involving the head of pancreas that were diagnosed by guided FNAC. This prevents their seeding into this organ.…”

“…3,4 This is because direct invasion of the pancreas by the mycobacterium is rare on account of the negative effect of pancreatic enzymes on the tubercular bacilli. 1,2,[7][8][9] In a recent review, 25 cases of pancreatic TB that masqueraded as pancreatic carcinoma have been added to the existing data of 14 such cases. 5 Lately, there has been an upsurge in the occurrence of pancreatic TB as a result of immunosupression for various reasons.…”

“…1,2,6 Among the various diagnostic tools, a guided FNAC of a suspected pancreatic mass constitutes a safe and effective diagnostic procedure. 2,5 Among the cases reported in the literature, imageguided, percutaneous FNAC has been found to be conclusive in diagnosing pancreatic TB in nearly half of such cases. 2,5 We present two cases of TB involving the head of pancreas that were diagnosed by guided FNAC.…”