When tuberculosis manages to win into the pancreas, the patient will show several symptoms, including abdominal epigastric pains, mass loss, and low-grade fevers. Because of this symptomology and the presence of a pancreatic mass, pancreatic tuberculosis is commonly misdiagnosed as pancreatic cancer. To correctly diagnose the TB infection, a PPD skin-test can help but is not definitive (apparently the TB PPD exam has a 10-25% false-negative rate). Unfortunately, CT scan and radiologic imaging offer little give a hand. The most effective methods for confirming the presence of pancreatic tuberculosis are cytologic diagnoses. This involves removal of a portion of the pancreatic mass (generally by fine syringe aspiration) and analyzing it for evidence of bacterial infection and evidence of the tuberculosis bacterium itself.
actually,i regard as that anyone who suffers from pancreatic tuberculosis will spit blood because of the ellipse of vitamins
i would say an mri. possibly broncho scope too.
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