A Solitary Pancreatic Actinomycosis Mimicking Pancreatic Cancer / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
;
: 130-135, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-28889
ABSTRACT
Actinomycosis is a chronic, slowly progressive, and suppurative disease caused by filamentous anaerobic bacteria Actinomyces, which results in characteristic sulfur granules. Clinically, actinomycosis can present with a mass-like lesion, and this bacterial nidus has been frequently mistaken for a malignancy. For that reason many patients undergo surgical resection before the correct diagnosis is established. We report a case of a 63-year-old man with a solitary, asymptomatic pancreatic actinomycosis that masqueraded as pancreatic cancer. He did not have any other concurrently infected organs and did not have any signs or symptoms of infection. All radiologic images of the patient favored a malignancy to a great extent rather than an inflammatory mass. He was finally diagnosed with actinomycosis by endoscopic ultrasound (EUS)-guided fine needle aspiration biopsy without surgery. After one month of treatment with antibiotics, the pancreatic head mass was completely resolved on the follow-up computed tomography (CT).
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pâncreas
/
Neoplasias Pancreáticas
/
Enxofre
/
Bactérias Anaeróbias
/
Biópsia
/
Actinomyces
/
Actinomicose
/
Seguimentos
/
Ultrassonografia
/
Biópsia por Agulha Fina
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Pancreas and Biliary Tract
Ano de publicação:
2015
Tipo de documento:
Artigo
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