ABSTRACT

Year : 2017  |  Volume : 6  |  Issue : 8  |  Page : 54-55

Pancreatic paracoccidioidomycosis: An uncommon diagnostic made by endoscopic ultrasound fine needle aspiration

Nelson Maeda Machado¹, Soraia Maria Féres Maeda¹, Thiago Frederigue², Andrea Aparecida Fassoni², Paulo Eduardo De Souza^1
1 Department of Endoscopy, Gastrocentro Clinic, Bauru, Brazil
² Department of Pathology, Anatomed, Bauru, Brazil

Correspondence Address:

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/2303-9027.218432

Paracoccidioidomycosis, or South American blastomycosis, or Lutz disease, is a granulomatous infection caused by fungus. Pancreatic infection with mass formation is very uncommon. We report a case of a 72-year-old man with abdominal pain and weight loss for the past 4 months. Abdominal computed tomography (CT) showed masses in the pancreatic head and body. He was referred to our Clinic for endoscopic ultrasound-guided fine needle aspiration (EUS-FNA), with suspicious of pancreatic adenocarcinoma. EUS-FNA was performed with a 22G Pro-Core ^® needle (Cook Medical In., Limerick, Ireland) and cytology material was obtained after three needle passes. The slides were stained and analyzed by a cytopathologist, showing numerous Paracoccidioides forms. It seems to be the first report of this diagnostic issue made by EUS-FNA.

Keywords: Endoscopic ultrasound fine needle aspiration, pancreas, paracoccidioidomycosis