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| 1 | 胰腺结核的CT及MRI诊断显示文摘目的 :探讨胰腺结核的CT及MRI表现,提高对胰腺结核的诊断水平。方法 :回顾性分析经病理证实及临床抗结核治疗病灶缩小确诊的胰腺结核患者6例,均行CT平扫及增强扫描,其中4例同时行MRI平扫及增强扫描。结果:CT检查发现胰头部结核性病变6例,平扫呈等或略低密度肿块,增强扫描后病灶呈轻度及中度不均匀性强化或呈环形强化;4例行MRI检查T1WI病灶呈等或略低信号,T2WI病灶呈等或略高信号,内见片状高信号,增强扫描后呈轻度强化2例,环状强化2例。结论:胰腺结核的CT及MRI表现为胰头部局灶性实质性或囊实性病灶,增强扫描后呈轻中度强化或蜂窝状环形强化,伴有胰周淋巴结或腹腔淋巴结肿大环状强化,可合并脾脏等腹腔结核灶,影像学表现有一定特异性。 | 张志伟 王丽英 | 2015 | 中国中西医结合影像学杂志2015，13，5： | 11 |
| 2 | 实时荧光定量聚合酶链反应法检测肺结核患者痰标本价值的对照研究显示文摘目的探讨不同方法对肺结核的诊断价值。方法以实时荧光定量聚合酶链反应法、痰直接涂片找抗酸杆菌法、痰结核杆菌培养法对我院56例确诊肺结核患者痰标本检查比较。结果荧光定量PCR法检出结核杆菌阳性率显著高于痰涂片抗酸染色和培养法,其他非肺结核结果阳性率仅为2.7%,特异度较高。结论实时荧光定量聚合酶链反应法对肺结核诊断方面灵敏度及特异度较高,同时反映抗结核治疗过程中痰标本中的结核杆菌的数量变化,对抗结核药物疗效有良好的监控效果,应列入肺结核常规实验室检查项目。 | 梁晓海 黄平东 | 2006 | 现代中西医结合杂志2006，15，3： | 10 |
| 3 | 胰腺结核九例的MDCT特征和误诊分析显示文摘目的 分析胰腺结核(pancreatic tuberculoses,PT)的多层螺旋CT(MDCT)征象,以期提高对该病的认识和诊断正确率.方法 收集2003年至2009年行MDCT检查并最终确诊为PT的9例患者,其中2例行MDCT血管成像.分析PT的MDCT特征性表现,并与手术及病理结果进行比较.结果 MDCT诊断为胰腺癌1例、囊腺癌1例、囊腺瘤2例、假性囊肿1例、胰腺癌伴后腹膜淋巴结转移2例、淋巴瘤2例.通过病理证实,9例均为PT,误诊率达100%.PT常表现为胰头肿块,亦可累及体尾部或整个胰腺.MDCT呈现等或略低密度的囊实性肿块,偶见钙化,增强后轻度至中度环形强化.通常不伴有胰管扩张,但常伴有后腹膜或邻近淋巴结肿大,且肿大淋巴结亦呈环形强化.有时伴有腹部其他脏器结核.结论 环形强化的肿块不伴有胰管扩张,同时伴有环形强化的肿大淋巴结为PT特征性的MDCT表现. | 梁宗辉 窦娅芳 唐颖 汤伟军 冯晓源 | 2011 | 中华胰腺病杂志2011，11，2： | 7 |
| 4 | 超声内镜引导下穿刺诊断胰腺结核1例显示文摘胰腺结核的发病率比较低,常常表现为胰腺占位或胰腺包块等,如患者既往无结核病史,常常误诊为胰腺肿瘤进行开腹探查后才确诊为胰腺结核,对患者创伤较大,超声内镜引导下细针穿刺可以取胰腺包块组织,进行病理检查,为确诊胰腺占位性疾病提供临床证据,且超声内镜穿刺相对于B超及计算机断层扫描(computed tomography)穿刺有准确率高,并发症少等优点. | 潘振国 许莹 潘峰 李倩君 | 2015 | 世界华人消化杂志2015，23，30： | 3 |
| 5 | Pancreatic tuberculosis with acquired immunodeficiency syndrome:A case report and systematic review显示文摘Pancreatic tuberculosis (TB) is a relatively rare disease that can mimic carcinoma,lymphoma,cystic neoplasia,retroperitoneal tumors,pancreatitis or pseudocysts.Here,I report the case of a 31-year-old immigrant Burmese woman who exhibited epigastralgia,fever,weight loss and an epigastric mass.The patient was diagnosed with pancreatic TB and acquired immunodeficiency syndrome,and was treated with antituberculous drugs and percutaneous catheter drainage without a laparotomy.The clinical presentation,radiographic investigation and management of pancreatic TB are summarized in this paper to emphasize the importance of considering this rare disease in the differential diagnosis of pancreatic masses concomitant with human immunodeficiency virus infection.I also emphasize the need for both histopathological and microbiological diagnosis via fineneedle aspiration. | Somchai Meesiri | 2012 | World Journal of Gastroenterology2012，18，7： | 3 |
| 6 | Fine needle aspiration diagnosis of isolated pancreatic tuberculosis: A case report显示文摘Tuberculosis(TB) involving the pancreas are uncommon, especially when present in immunocompetent hosts. Pancreatic TB is more frequently associated with miliary TB or widely disseminated disease. Pancreatic TB may present as cystic or solid pancreatic masses, pancreatic abscess or acute or chronic pancreatitis. Majority of the cases are diagnosed after surgical exploration for presumed pancreatic malignancy and preoperative diagnosis is quite difficult. However, improvement in imaging techniques and the resulting imageguided interventions gradually can obviate the need for more invasive diagnostic surgical procedures and expedite the planning of therapy. Herein, we report a rare case of isolated pancreatic TB which presented with pancreatic mass lesion in an immunocompetent host. Diagnosis was made by contrast enhanced computed tomography and guided fine needle aspiration of the pancreatic mass which revealed acid-fast bacillion Ziehl-Neelsen stain. The case was treated successfully with antituberculous drugs. Pancreatic tuberculosis should be considered in the differential diagnosis of a pancreatic mass when the patient is young, residing in the endemic zone of tuberculosis. Every attempt should be made to diagnose the cases to prevent unnecessary operation. | Nikhil Sonthalia Sayantan Ray Partha Pal Avishek Saha Arunansu Talukdar | 2013 | World Journal of Clinical Cases2013，1，5： | 2 |
| 7 | 肺结核56例痰标本FQ-PCR检测价值分析显示文摘目的:探讨不同检测方法对肺结核的诊断价值。方法:以实时荧光定量聚合酶链反应法、痰直接涂片找抗酸杆菌法、痰结核杆菌培养法对56例确诊肺结核患者痰标本检查结果进行比较。结果:荧光定量PCR法检出结核杆菌阳性率显著高于痰涂片抗酸染色和培养法(P<0.05),其他非肺结核结果阳性率仅为2.7%,特异度较高。结论:实时荧光定量聚合酶链反应法对肺结核诊断方面灵敏度及特异度较高,同时反映抗结核治疗过程中痰标本中的结核杆菌的数量变化,对抗结核药物疗效有良好的监控效果。 | 梁颖惠 | 2011 | 陕西医学杂志2011，40，1： | 1 |
| 8 | 胰腺结核八例诊治分析显示文摘胰腺结核(pancreatic tuberculosis)临床少见,缺乏特异性临床表现,极易误诊为胰腺癌、胰腺囊性肿瘤、淋巴瘤、腹膜后肿瘤、胰腺炎、胰腺假性囊肿等。本研究回顾性分析胰腺结核患者的临床资料,并结合相关文献,探讨胰腺结核的诊断及治疗,旨在加深对胰腺结核的认识,提高其诊断水平。 | 郭胜超 宋少伟 郭克建 | 2014 | 中华胰腺病杂志2014，14，3： | 1 |
| 9 | Tuberculous lymphadenitis as a cause of obstructive jaundice:A case report and literature review显示文摘Obstructive jaundice secondary to tuberculosis (TB) is extremely rare. It can be caused by TB enlargement of the head of the pancreas, TB lymphadenitis, TB stricture of the biliary tree, or a TB mass of the retroperitoneum. A 29-year-old man with no previous history of TB presented with abdominal pain, obstructive jaundice, malaise and weight loss. Ultrasonography (US), computer tomography (CT) scan and endoscopic retrograde cholangiopancreatography (ERCP) were suggestive of a stenosis of the distal common bile duct (CBD) caused by a mass in the posterior head of the pancreas. Tumor markers, CEA and CA19-9 were within normal limits. At operation, an enlarged, centrally caseous lymph node of the posterior head of the pancreas was found, causing inflammatory stenosis and a fistula with the distal CBD. The lymph node was removed and the bile duct resected and anastomosed with the Roux-en Y jejunal limb. Histology and PCR based-assay confirmed tuberculous lymphadenitis. After an uneventful postoperative recovery, the patient was treated with anti-tuberculous medication and remained well 2.5 years later. Though obstructive jaundice secondary to tuberculous lymphadenitis is rare, abdominal TB should be considered as a differential diagnosis in immunocompromised patients and in TB endemic areas. Any stenosis or fistulation into the CBD should also be taken into consideration, and biliary bypass surgery be performed to both relieve jaundice and prevent further stricture. | Radoje Colovic Nikica Grubor Rada Jesic Marjan Micev Tanja Jovanovic Natasa Colovic Henry Dushan Atkinson | 2008 | World Journal of Gastroenterology2008，14，19： | 1 |
| 10 | Neoplasm-like abdominal nonhematogenous disseminated tuberculous lymphadenopathy: CT evaluation of 12 cases and literature review显示文摘AIM: To assess the diagnostic value of computed tomography (CT) imaging in screening for abdominal nonhematogenous disseminated tuberculous lymphadenopathy (TL). METHODS: The CT scans of 12 patients with abdominal nonhematogenous disseminated TL suggestive of neoplasm were retrospectively analyzed in this review. The final diagnoses were confirmed by lymph node pathology for seven patients and by laparoscopic surgery for five patients. All of the patients were treated at our institution between April 1995 and August 2009. RESULTS: The sites of involvement were the periportal (n = 6), peripancreatic (n = 3), periaortic (n = 3), and mesenteric (n = 2) regions. On the plain CT scan, the lymphadenopathy showed a heterogeneous isodensity or hypodensity in 11 patients and a low density in one patient. Peripheral enhancement was observed on the dynamic contrast-enhanced CT scans for all patients. In two cases, scans were more revealing during the portal venous and delayed phases. CONCLUSION: Abdominal lymphadenopathy with predominant peripheral rim-like enhancement on the dynamic contrast-enhanced CT scan may suggest a diagnosis of TL. | Ming Zhang Min Li Gui-Ping Xu Hong-Juan Liu | 2011 | World Journal of Gastroenterology2011，17，35： | 0 |
| 11 | Diagnosis by endoscopic ultrasound guided fine needle aspiration of tuberculous lymphadenitis involving the peripancreatic lymph nodes: A case report显示文摘Pancreatic tuberculosis is an extremely rare form of extrapulmonary disease. The diagnosis preoperatively is difficult because clinical, laboratory and radiologic findings are nonspecific. Published data indicate that these lesions mimic cystic neoplasms of the pancreas and the confirmation of clinical suspicion could only be obtained by an open surgical biopsy. Recently, fine needle aspiration cytology has been shown to be a safe, reliable and cost-effective alternative. We report a new case of a peripancreatic tuberculosis in a 52 year old woman and review the relevant literature, paying special attention to the usefulness of endoscopic ultrasound guided-fine needle aspiration in the diagnosis of abdominal tuberculosis. | Joseph D Boujaoude Khalil Honein Cesar Yaghi Claude Ghora Gerard Abadjian Raymond Sayegh | 2007 | World Journal of Gastroenterology2007，13，3： | 0 |
| 12 | 胰腺结核的诊断及鉴别诊断显示文摘目的胰腺结核(PTB)是结核病的罕见类型,临床上容易误诊为胰腺肿瘤。本研究通过总结胰腺结核患者的临床特征,探讨胰腺结核诊断和鉴别诊断的关键点。方法回顾性分析北京协和医院2012年01月至2021年12月通过穿刺或手术获取胰腺病理并确诊的胰腺结核患者23例,按入院时间匹配胰腺恶性肿瘤(PMT)患者进行临床特征的对比分析。结果23例PTB患者中,男性15例(65.2%),年龄(49±13)岁。PTB组患者最常见的症状是腹痛12例(52.2%),其次是体重下降8例(34.8%)和发热5例(21.7%)。PTB组C反应蛋白水平明显高于PMT组(Z=-2.151,P=0.03),两组间临床特征及其他实验室检查无明显差异。PTB组结核菌素皮试阳性率26.1%;结核酶联免疫斑点试验(T-SPOT.TB)阳性率为86.7%。PTB组病变部位以胰头为主(12/23,52.2%),伴胰周淋巴结肿大15例(65.2%)。PTB组胰周淋巴结肿大更常见(65.2%vs 30.0%,P=0.021),而PMT组胰管扩张更常见(50%vs 0,P<0.01)。23例PTB患者中,仅5例(21.7%)为病原学诊断。15例PTB患者入院时首先考虑恶性肿瘤,误诊率高达65.2%。PTB组14例(60.9%)和9例(39.1%)患者分别接受超声内镜细针穿刺(EUS-FNA)和腹腔手术。14例通过EUS-FNA确诊的PTB患者中,6例曾误诊为恶性肿瘤,由此避免了不必要的外科手术。结论PTB难以通过临床表现和常规化验检查与PMT相鉴别,组织病理和病原检查是鉴别诊断的关键点。临床医生应提高对PTB的警惕性,及时进行EUS-FNA有可能避免不必要的手术。 | 刘晔 阮桂仁 刘晓清 侍效春 费贵军 | 2023 | 临床荟萃2023，38，10： | 0 |
| 13 | 罕见病变导致胆总管梗阻(附3例报告)显示文摘 | 刘天奇 梁中骁 | 2006 | 广西医学2006，28，10： | 0 |
| 14 | Pancreatic head region lymph node tuberculosis mimicking pancreatic solid pseudopapillary tumor显示文摘Tuberculosis (TB) is a common disease in developing countries,and even in developed countries;its incidence is rising.Pancreatic head regional lymph node TB is uncommon,and isolated involvement is rare.Pre-operative diagnosis of pancreatic head regional lymph node TB is difficult and may mimic pancreatic malignant or benign lesions.We herein present a case of lymph node TB in the pancreatic head region mimicking a pancreatic solid pseudopapillary tumor in a 40-year-old female patient. | XU Quan LIU Hao TIAN Yan-tao | 2013 | Chinese Medical Journal2013，，5： | 0 |
| 15 | 快速诊断胰腺结核一例报告并文献复习显示文摘胰腺结核(pancreatic tuberculosis,PT)是一种罕见病,其临床症状及体征缺乏特异性。影像学上主要表现为胰腺囊性、实性或囊实性占位,常被误诊为胰腺肿瘤而常行手术治疗。本研究回顾性分析胰腺结核患者的临床资料,并进行文献复习,以提高对胰腺结核的认识。1病例报告患者男,33岁,以'腹胀、皮肤巩膜黄染20d余'入院。主要表现为腹胀以中上腹为主,间断性发作,不伴放射性及转移性疼痛,无恶心呕吐,无畏寒发热,无厌油和乏力,无腹泻和黑便等症状。既往无结核病史,有结核患者接触史,家属无肿瘤史。 | 刘靓懿 黄强 | 2020 | 社区医学杂志2020，18，23： | 0 |
| 16 | 胆胰部位结核6例分析显示文摘目的探讨胆胰部位结核的临床和病理特征,提高对该病的诊治水平。方法回顾性分析复旦大学附属中山医院经手术证实的6例胆胰部位结核误诊为恶性肿瘤病例的临床资料。病人均为中青年,临床表现为黄疸、发热及腹痛。术前影像学检查提示局限性胆管狭窄伴近端肝内外胆管扩张;胆胰周围淋巴结结核病人还表现为胆胰周围实质性占位;胰腺结核病人可见胰头占位伴胰周淋巴结肿大;胆管结核病人胆管周围及十二指肠圈软组织影增多。6例术前均误诊癌肿而行手术探查由病理确诊,术后均予抗结核治疗。结果经随访所有病例胆胰周围肿块明显缩小,黄疸、发热等临床症状消失。结论胆胰部位结核与胆胰恶性肿瘤具有相似的临床表现和影像学特征,在术前难以鉴别,常需术中或术后病理检查确诊。经手术或内镜进行有效的支撑和引流胆道,术后积极的抗结核治疗是治愈胆胰结核的关键。 | 沈振斌 刘厚宝 王炳生 童赛雄 艾志龙 锁涛 | 2009 | 中华肝胆外科杂志2009，15，9： | 0 |
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