Case Report
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World J Gastroenterol. Sep 14, 2013; 19(34): 5750-5753
Published online Sep 14, 2013. doi: 10.3748/wjg.v19.i34.5750
Pancreatic paracoccidioidomycosis simulating malignant neoplasia: Case report
Talles Bazeia Lima, Maria Aparecida Custódio Domingues, Carlos Antonio Caramori, Giovanni Faria Silva, Cássio Vieira de Oliveira, Fábio da Silva Yamashiro, Letícia de Campos Franzoni, Lígia Yukie Sassaki, Fernando Gomes Romeiro
Talles Bazeia Lima, Carlos Antonio Caramori, Giovanni Faria Silva, Cássio Vieira de Oliveira, Fábio da Silva Yamashiro, Letícia de Campos Franzoni, Lígia Yukie Sassaki, Fernando Gomes Romeiro, Division of Gastroenterology, Department of Internal Medicine, Botucatu School of Medicine, Rubião Junior District S/N, 18618-970 São Paulo, Brazil
Maria Aparecida Custódio Domingues, Department of Pathology, Botucatu School of Medicine, Rubião Junior District S/N, 18618-970 São Paulo, Brazil
Author contributions: Lima TB conceived and coordinated the study, and participated in data collection, acquisition of radiological figures, and manuscript writing; Domingues MAC participated in the study design, data collection, production of histopathological figures, and manuscript writing; Caramori CA, Silva GF, Oliveira CV, Yamashiro FS and Franzoni LC participated in data collection and manuscript writing; Sassaki LY and Romeiro FG coordinated the study and participated in data collection and manuscript writing.
Correspondence to: Talles Bazeia Lima, MD, Division of Gastroenterology, Department of Internal Medicine, Botucatu School of Medicine, Rubião Junior District S/N, 18618-970 São Paulo, Brazil. talles.lima@yahoo.com.br
Telephone: +55-14-96095577 Fax: +55-14-96095577
Received: January 20, 2013
Revised: March 7, 2013
Accepted: March 22, 2013
Published online: September 14, 2013
Core Tip

Core tip: This is a report of a rare case of pancreatic paracoccidioidomycosis, which shows its importance in the differential diagnosis of intra-abdominal tumors in endemic areas. This is apparently the first such report written in English. The patient had a pancreatic mass adhering to vessels and deep planes, with enlargement of satellite lymph nodes; but malignant neoplasia was not found. The ultrasonography-guided pancreas fine-needle aspiration defined the diagnosis and successfully directed the therapy. Remarkably, although the patient had abdominal lymph node enlargement, he did not present peripheral lymphadenopathy, which is usually the major complaint in patients with the juvenile form of paracoccidioidomycosis.