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cheesy material on macroscopic on-site evaluation after endoscopic ultrasound-guided fine-needle biopsy:Don't miss the tuberculosis

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World Journal of Clinical Cases 2023年第10期11卷 2181-2188页

作者： Hanane Delsa Khadija Bellahammou Hussein Hassan Okasha Fahd Ghalim Department of Gastroenterology and Hepatology Cheikh Khalifa International University HospitalMohammed VI University of Sciences and HealthCasablanca 82403Morocco Department of Oncology Tetouan HospitalTetouan 93000Morocco Department of Internal Medicine Division of GastroenterologyHepatology and EndoscopyKasr Al-Ainy School of MedicineCairo universityCairo 11562Egypt

Endoscopic ultrasound-guided fine-needle biopsy(EUS-FNB)is an excellent investigation to diagnose pancreatic lesions and has shown high accuracy for its use in pathologic ***,macroscopic on-site evaluation(MOSE)performed by an endoscopist was introduced as an alternative to rapid on-site cytologic evaluation to increase the diagnostic yield of *** MOSE of the biopsy can estimate the adequacy of the sample directly by the macroscopic evaluation of the core tissue obtained from *** pancreatic tuberculosis is extremely rare and difficult to diagnose because of its non-specific signs and ***,this challenging diagnosis is based on endoscopy,imaging,and the bacteriological and histological examination of tissue *** uncommon presentation of tuberculosis can be revealed as pancreatic mass mimicking ***-FNB can be very useful in providing a valuable histopathological diagnosis.A calcified lesion with a cheesy core in MOSE must be suggestive of tuberculosis,leading to the request of the GeneXpert,which can detect Mycobacterium tuberculosis deoxyribonucleic acid and resistance to rifampicin.A decent diagnostic strategy is crucial to prevent unnecessary surgical resection and to supply conservative management with antitubercular therapy.

关键词： Pancreatic tuberculosis Endoscopic ultrasound Fine-needle biopsy Macroscopic on-site evaluation cheesy material GeneXpert

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