RT Journal Article SR Electronic T1 Pancreatic tuberculosis in immunocompetent patients JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1052 OP 1057 DO 10.15537/smj.2019.10.24245 VO 40 IS 10 A1 Faisal A. Alsaif A1 Mazen M. Hassanain A1 Abdulrahman M. Aljebreen A1 Abdulsalam B. Alsharaabi A1 Faisal A. Alalem A1 Reem A. Alharbi A1 Fatima S. Ali A1 Hend K. Idriss A1 Ola A. Alkhalaf YR 2019 UL http://smj.org.sa/content/40/10/1052.abstract AB Objectives: To raise awareness of practitioners on benign treatable conditions such as pancreatic tuberculosis (TB).Methods: A retrospective study at King Khaled University Hospital, Riyadh, Saudi Arabia of all patient charts presented with pancreatic mass for a period of 10 years (2007-2017) with a study duration of 4 years between 2013 and 2017. Patients with confirmed diagnosis of pancreatic cancer were excluded. A written ethical approval was obtained accordingly.Results: All adult patient charts were retrospectively reviewed with a pancreatic mass for a period of 10 years (2007-2017). Nine patients were identified with proven diagnosis of TB. The data were obtained based on demographic features, sign and symptoms, duration of illness, imaging, ultrasound, contrast enhanced computed tomography scan, cytology or histopathology, polymerase chain reaction, culture and follow up with anti-tuberculous therapy and samples for cytology or histology. The histological findings of granuloma with caseation or positive culture were used confirming the diagnosis of TB. All patients were immunocompetent and screened for human immunodeficiency viruses before starting anti-TB treatment. Results were negative. All patients who underwent fine needle aspiration (FNA) and endoscopic ultrasound (EUS) for suspicious pancreatic mass were provided trial of antibiotics as cases of pancreatic tuberculosis showed dramatic improvement during follow up and cured from the disease.Conclusion: The EUS and FNA are good tools to confirm malignancy and rule out benign treatable conditions like TB for any patient with a pancreatic mass suspicious for carcinoma.