تقرير
Inflammatory Pseudotumor of the Pancreas Mimicking a Pancreatic Neoplasm.
| العنوان: | Inflammatory Pseudotumor of the Pancreas Mimicking a Pancreatic Neoplasm. |
|---|---|
| المؤلفون: | Baião JM; Surgical Department, Instituto Português de Oncologia de Coimbra, Coimbra, Portugal., Martins RM; Surgical Department, Instituto Português de Oncologia de Coimbra, Coimbra, Portugal., Correia JG; Surgical Department, Instituto Português de Oncologia de Coimbra, Coimbra, Portugal., Jordão D; Surgical Department, Instituto Português de Oncologia de Coimbra, Coimbra, Portugal., Vieira Caroço T; Surgical Department, Instituto Português de Oncologia de Coimbra, Coimbra, Portugal., Caetano Oliveira R; Pathology Department, Centro de Diagnóstico Anatomo-Patológico (CEDAP), Coimbra, Portugal., Agostinho PG; Radiology Department, Instituto Português de Oncologia de Coimbra, Coimbra, Portugal., Ferrão H; Surgical Department, Instituto Português de Oncologia de Coimbra, Coimbra, Portugal. |
| المصدر: | Case reports in gastroenterology [Case Rep Gastroenterol] 2019 Jun 13; Vol. 13 (2), pp. 245-252. Date of Electronic Publication: 2019 Jun 13 (Print Publication: 2019). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Karger Country of Publication: Switzerland NLM ID: 101474819 Publication Model: eCollection Cited Medium: Print ISSN: 1662-0631 (Print) Linking ISSN: 16620631 NLM ISO Abbreviation: Case Rep Gastroenterol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel : Karger |
| مستخلص: | A 78-year-old woman was admitted to our hospital with a pancreatic tumor, incidentally discovered in an abdominal ultrasound exam. She was asymptomatic and without any previous personal pathological condition. The computed tomography (CT) and the magnetic resonance imaging (MRI) scan showed a mass lesion of 4 cm in diameter, located in the pancreatic body, conditioning the invasion of the splenic vein. The patient was admitted to surgery. During the laparotomy, we found a tumoral lesion highly suspicious of pancreatic neoplasia located in the transition of the head/body of the pancreas, with an invasion of the portal vein and several peri-regional lymph nodes. We performed biopsies of the pancreatic mass and lymphadenectomy of the peri-regional pancreatic lymph nodes. Histological analysis found an inflammatory pseudotumor of the head/body of the pancreas, without signals of malign epithelial neoplasm and also without criteria for immunoglobulin G4-related disease. During the follow-up, a PET/CT and MRI confirmed that the pancreatic lesion had disappeared without any treatment. Inflammatory pseudotumor of the pancreas is a rare entity not fully understood. Despite this, the administration of corticosteroids and immunosuppressive therapy could be taken into consideration as the disease carries a risk. |
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| فهرسة مساهمة: | Keywords: IgG4-related disease; Inflammatory pseudotumor; Myofibroblastic spindle cells; Pancreatectomy; Pancreatic cancer |
| تواريخ الأحداث: | Date Created: 20190706 Latest Revision: 20200930 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC6600032 |
| DOI: | 10.1159/000501064 |
| PMID: | 31275087 |
| قاعدة البيانات: | MEDLINE |
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