PDF(Pubmed)
Abstract：
Pancreatic masses are commonly encountered in clinical practice, with concern for the possibility of cancer. Tissue sampling or outright surgical resection may be offered in this setting. However, surgery has been unnecessarily performed in patients with pancreatic masses that proved to be benign. Less invasive options for pancreatic masses that may be benign like tuberculosis should thus be explored. Three adult Filipino patients less than 60 years old presented with symptomatic pancreatic masses suspected of cancer on abdominal imaging studies. Two were smokers without a history of prior tuberculosis. Without any tissue sampling, anti-tuberculosis treatment was eventually given to all three patients due to concomitant diagnoses of extrapancreatic tuberculosis. Endoscopic ultrasound documentation of post-treatment resolution of pancreatic masses was noted in all cases. In endemic regions, although clinical diagnosis of tuberculosis may be possible for pancreatic masses, empiric treatment should still be a last-line option in cases where tissue sampling cannot be done.
摘要：
胰腺肿块是临床实践中常见的，担心癌症的可能性。在这种情况下，可以提供组织采样或直接手术切除。然而,在胰腺肿块被证明是良性的患者中进行了不必要的手术。因此，应该探索针对可能像结核病一样良性的胰腺肿块的侵入性较小的选择。三名年龄小于60岁的菲律宾成年患者在腹部影像学研究中出现有症状的胰腺肿块，怀疑患有癌症。两名吸烟者没有先前的结核病史。没有任何组织取样，由于同时诊断为胰腺外结核,3例患者最终均接受了抗结核治疗.在所有情况下，都记录了胰腺肿块治疗后分辨率的内窥镜超声记录。在流行地区，虽然结核病的临床诊断可能是胰腺肿块，在无法进行组织采样的情况下,经验性治疗仍应是最后的选择.
