Laraib Khan, Nasir Ali, Tooba Ali, Muhammad Raza, Sehrish Abrar.
Tuberculous lymphadenopathy in neck / mediastinum, looking like metastatic disease on 18F FDG PET/CT scan in a patient with carcinoma of cervix.
Pak J Radiol Jan ;32(4):245-8.

We report the case of a 65-year-old lady who had biopsy proven squamous cell carcinoma of uterine cervix. Staging CT scan and PET/CT scan revealed lymph nodes in mediastinum and level III-V bilateral neck. FNA failed two times to determine the nature of lymphadenopathy. Excisional biopsy and histopathology of the neck node was consistent with chronic granulomatous inflammation suggestive of tuberculosis. So it was then staged as non-metastatic disease. The patient was started on ATT and completed radical treatment for cervical cancer. The objective of this case report is to emphasize that nodal TB should be considered a noteworthy differential diagnosis in patients with a known malignancy especially when pattern of nodal involvement is not usual and excisional biopsy serves a vital role in proper staging of cancer.

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