Mass lesions in the head of the pancreas are generally malignant and it is difficult to diagnose benign lesions preoperatively. We describe two patients with pancreatic tuberculosis, who presented with abdominal pain, jaundice and a pancreatic head mass, mimicking cancer. The correct diagnosis could be made by endoscopic ultrasonography (EUS) and EUS-guided fine-needle aspiration (FNA) cytology in both patients, precluding the need for surgery. Both patients responded well to anti-tuberculosis treatment. We conclude that EUS with guided FNA is a useful modality to diagnose pancreatic tuberculosis.
- Endoscopic ultrasonography (EUS)
- Fine-needle aspiration (FNA)
- Pancreatic tuberculosis
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