机构：[1]Hebei Univ Chinese Med, Hebei Prov Hosp Chinese Med, Dept Radiotherapy, Shijiazhuang 050011, Hebei, Peoples R China[2]Army Med Univ, Mil Med Univ 3, Southwest Hosp, Dept Radiol, Chongqing, Peoples R China[3]Hebei Univ Chinese Med, Hebei Prov Hosp Chinese Med, Dept Gastroenterol, Shijiazhuang, Hebei, Peoples R China
Rationale: Tuberculosis remains a serious menace to the health of people. Isolated hepatic tuberculosis is rare and pancreatic tuberculosis is extremely rare. The preoperative diagnosis of pancreatic tuberculosis remains a great challenge. Patient concerns: A 58-year-old Asian woman was referred to our hospital for evaluation of low back pain for 4 years and abdominal pain for 1 month. Diagnoses: Computed tomography (CT) of the abdomen showed a hypodense mass in the pancreatic head and neck with abundant calcifications, a hypodense lesion in the liver without calcification, peripancreatic lymphadenopathy, calcifications in some lymph nodes. CT-guided fine needle aspiration biopsy of the hepatic lesion was carried out and the cytological examination revealed hepatic tuberculosis. Interventions: The patient was treated with antituberculous therapy for 1 year. Outcomes: Low back pain and abdominal pain disappeared 3 months after initial treatment and after 2 year of follow-up, the patient was asymptomatic. Lessons: Our data hint that calcifications in both pancreatic lesions and peripancreatic lymph nodes may suggest pancreatic tuberculosis rather than pancreatic malignancy.
基金：
Natural Science Foundation of Hebei Province [H2018423026]; Foundation of Health and Family Planning Commission of Hebei [20180686, 20180688]; Natural Science Foundation Project of CQ CSTC [cstc2016jcyjA0047]
第一作者机构：[1]Hebei Univ Chinese Med, Hebei Prov Hosp Chinese Med, Dept Radiotherapy, Shijiazhuang 050011, Hebei, Peoples R China
通讯作者：
通讯机构：[1]Hebei Univ Chinese Med, Hebei Prov Hosp Chinese Med, Dept Radiotherapy, Shijiazhuang 050011, Hebei, Peoples R China[*1]Department of Radiotherapy, Hebei Provincial Hospital of Chinese Medicine, Hebei University of Chinese Medicine, Shijiazhuang 050011, China
推荐引用方式(GB/T 7714)：
Liang Xi,Huang Xuequan,Yang Qian,et al.Calcified peripancreatic lymph nodes in pancreatic and hepatic tuberculosis mimicking pancreatic malignancy A case report and review of literature[J].MEDICINE.2018,97(36):doi:10.1097/MD.0000000000012255.
APA：
Liang, Xi,Huang, Xuequan,Yang, Qian&He, Jianming.(2018).Calcified peripancreatic lymph nodes in pancreatic and hepatic tuberculosis mimicking pancreatic malignancy A case report and review of literature.MEDICINE,97,(36)
MLA：
Liang, Xi,et al."Calcified peripancreatic lymph nodes in pancreatic and hepatic tuberculosis mimicking pancreatic malignancy A case report and review of literature".MEDICINE 97..36(2018)
