Extrapulmonary Tuberculosis in Adult (Ultrasound Finding)

Abstracts

S165

PPT12-007

PPT12-009

Clinical Usefulness of Transabdominal Us for the Focal Pancreatic Lesion Hyo Won Eun,1 Jung Hoon Kim2 1 Department of Diagnostic Radiology, Samsung Medical Center, South Korea, 2Department of Diagnostic Radiology, Seoul National University Hospital

Extrapulmonary Tuberculosis in Adult (Ultrasound Finding) Maria Goretti Ametembun Department of Internal Medicine, Cicendo Eye Hospital, Bandung, Indonesia

Objectives: The aim of this study was to evaluate the clinical usefulness of TAUS in the evaluation of cystic and solid lesions of the pancreas. Methods: TAUS is the most prevalent and convenient test for the evaluation of abdominal diseases. However, despite the development of ultrasound equipment, there are many limitations to the evaluation of pancreatic disease through ultrasound. Therefore, in this exhibition, we compare the pros and cons of ultrasonography for pancreatic lesions with CT, MRI and EUS. I would like to present the future direction of TAUS. Results: TAUS helps differentiate between solid lesions (PDAC, SPN, NET, metastasis, lymphoma, and intrapancreatic accessory spleen) and cystic lesions (IPMN, SCN, MCN, solid mass with cystic change, pseudocyst, and retention cyst ) in the pancreas, especially body area.TAUS is also useful as an alternative method to follow up the cystic lesions of the pancreas suspected to be benign. Conclusions: TAUS is a competitive test for the cost and convenience of pancreatic lesion differentiation and follow-up compared with CT, MRI or EUS. PPT12-008 Diagnostic Accuracy of Usg Guided Fine Needle Aspiration Cytology - A Study of 500 Cases from A Cancer Referral Centre in North India Pranay Tanwar,1 Nupur Das,1 Amar Ranajn,1 Ankit Mahotra,1 Priya Vadhana,1 Shikha Garg,1 Rajani Anand,1 Mukesh Yadav,2 S. P. Thulkar2 1 Laboratory Oncology Unit, Dr Bra-Irch, All India Institute of Medical Sciences, India, 2Department of Radiodiagnosis, All India Institute of Medical Sciences Objectives: To find out the diagnostic accuracy in USG guided aspiration . To find out the spectrum of lesions in USG guided cytology and demographic data of the cases. Methods: A total of 500 cases( between March, 2016- March, 2017) referred to our team for the diagnostic work up of clinically suspicious primary or secondary lesions. These lesions needed to be done under the image guidance due to their deep organ location or close proximity to vital structures. All lesions which yielded sufficient material for satisfactory reporting were included in this study. The inconclusive cases were not included in the analysis. Results: In our study out of 30 out of 500 cases showed only blood and were inadequate for a any conclusive opinion, so overall diagnostic yield was 94 %. We found that 62 (12.4%) cases were benign, 380 (76%) cases were malignant and in 128 ( 25.6 %) cases, a descriptive report was given. Regional distribution of lesions were head and neck lesions 125 (25%), hepatobiliary 130 (26%) , intraabdominal and pelvic lesions 150 (30%), chest and mediastinal lesions 55 ( 11%) and miscellaneous 40 (8%). Of malignant cases 38% were secondaries and 4 % were recurrent lesions. Conclusions: USG guided fine needle aspiration cytology is very useful and rapid technique in making timely diagnosis in cancer patients with overall good diagnostic yield. The procedure was helpful in avoiding delay may be caused due to biopsy.

Objectives: To describe ultrasound of extrapulmonary tuberculosis in adult. Methods: This descriptive study conducted at very low economy rural boundary islands: Saumlaki, Tanimbar, Moluccas (January, 20-23. 2009), St Elisabeth Hospital, Flores, (February 2012-August 2013) and Stela Maris-Lukas Hilisimetano Hospitals South Nias–North Sumatera (April- July 2015). Data were abstracted from medical records of adult disseminated tuberculosis. Patients were diagnosed by one certified ultrasound internal medicine specialist. Patients had never previously received specialist service nor ultrasound. Results: N51929 adult, . 15-78y (Saumlaki 329, Flores 1299, South Nias 301). All(100%) were Peritoneal (dry type) showed hypo-peristaltic, thickening heterogenic hypo-echoic small bowel wall, irregular margin, several round nodular and lumen narrowing. Kidney: irregular form; lost differentiation of capsule, cortex, pyramids, sinus were at Saumlaki 239(73%), Flores 869(67%) and South Nias 211(70%). Chronic cystitis at Saumlaki 91(28%), Flores 740(57%) and South Nias 193(64%). At Saumlaki: heterogeneous hyperechoic of pancreas 20(6%), Paraaortal lymph-nodes enlargement 16(4,7%). At Flores: testis abnormality 11(0,8%), prostat 1(0,08%), neck lymph node enlargement, pleural effusion 3(0,2%). At South Nias: heterogeneous hyperechoic of pancreas 26(8,6%), peritoneal tuberculosis wet type 1 (0,3%), pleural effusion 6(2%), neck lymph node enlargement 6(2%), Musculoskeletal 1 (0,3%). Conclusions: Peritoneal dry type and small bowel tuberculosis was the most extrapulmonary tuberculosis, followed by urinary tract, pancreas, pleural effusion, lymph node and musculoskeletal. PPT12-010 Extrapulmonary Tuberculosis in Children (Ultrasound Finding) Maria Goretti Ametembun Department of Internal Medicine, Cicendo Eye Hospital, Bandung, Indonesia Objectives: To describe ultrasound of extrapulmonary tuberculosis in children. Methods: This descriptive study conducted at very low economy and low hygiene sanitation environment at rural boundary islands: Saumlaki Health Centre, Tanimbar, Moluccas (January, 20-23. 2009 and March May 2010), St Elisabeth Hospital, Flores, Nusa Tenggara Timur (February 2012 - August 2013) and Stela Maris, Lukas Hilisimetano Hospitals and Fanayama Primary Health Centret, Onohondro Village at South Nias–North Sumatera province (April- July 2015). Data were abstracted from medical records of children disseminated tuberculosis. Patients were diagnosed by one certified ultrasound internal medicine specialist using the only one black and white portable ultrasound available. Patients had never previously received medical specialist service nor ultrasound examination. Results: N5724 children , 0,5-15y (Saumlaki 392, Flores 184 and South Nias 148). All (100%) were Peritoneal (dry type) with recurrent colic abdomen pain, diarrhea/obstipation, distention, doughy & dam-board phenomena as well as constitutional symptom and undernourished. Small bowel ultrasound showed a/hypo- peristaltic, irregular thickening heterogenic hypo-echoic, irregular margin of the wall, loss differentiation of the wall layers, with several oval/ round nodular structures those suggestive granuloma. 100% Lymph