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Mediastinal lymphadenopathy in ampullary adenocarcinoma: not always metastatic

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Annals of Gastroenterology   

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Mediastinal lymphadenopathy in ampullary adenocarcinoma: not always metastatic (EN)
Rana, Surinder S.
Mittal, Bhagwant R.
Nada, Ritambhra
Sampath, Santosh
Sharma, Vishal
Rao, Chalapathi A.S.
Dhaliwal, Harpal S.
Bhasin, Deepak K.
Singh, Kartar
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
2012-04-11
Malignancies can metastasize through hematogenous or lymphatic routes. Enlarged lymph nodes in a known case of malignancy do not always imply metastasis. A middle-aged female patient presented to us with abdominal pain and jaundice. Investigation revealed ampullary growth due to adenocarcinoma. Positron emission tomography-computerized tomography scan revealed uptake of the tracer in the ampullary region as well as in enlarged mediastinal lymph nodes. Endoscopic ultrasound-guided fine needle aspiration cytology of the mediastinal lymphadenopathy revealed it to be tuberculous. Mere radiologic evidence of a distant nodal spread must not be regarded as final evidence and obtaining a tissue diagnosis should be strongly considered, as potentially curative therapy may be offered.Keywords endoscopic ultrasound, tuberculosis, adenocarcinoma, pancreas, lymph nodeAnn Gastroenterol 2012; 25 (2): 167-169 (EN)
English
Hellenic Society of Gastroenterology (EN)
1792-7463
1108-7471
Annals of Gastroenterology; Volume 25, No 2 (2012); 167 (EN)
Hellenic Society of Gastroenterology
Annals of Gastroenterology
Case Reports



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