Quiz of the Week
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ABDOMEN / Pancreas 78 / F, Incidental finding
Number of Applicants : 25
| About Author | |
| Authors | Heejin Kwon |
| Institution | Dong-A University Hospital |
| risual@dau.ac.kr | |
| About Case | |||
| Chief complaint or Title |
Incidental finding | ||
| Age | 78 | Sex | F |
| Difficulty | For resident, For specialist | ||
| Modality | US, CT, MR | ||
| Case Figures | |||||||||
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| Questions | ||
| What is your diagnosis? |
| Answer | |||
| Diagnosis | Pancreas lymphoma | ||
| Comments | Pancreas lymphoma •Primary pancreatic lymphoma : rare
•Less
than 0.5% of all pancreatic malignancies
•No
evidence of palpable superficial lymphadenopathy,
•No
enlargement of mediastinal nodes
•Normal
leukocyte count
•At
surgery, the pancreatic mass predominates, with involved lymph nodes confined
to the peripancreatic
region
•No
hepatic or splenic involvement.
•Secondary lymphoma : dominant form
•1% of
extranodal
lymphoma
•Direct
extension from peripancreatic
lymphadenopathy
•Hematogenous spread
Focal well-circumscribed form Pancreatic head (80%) Well defined or infiltrating, homogeneous low-attenuation mass at CT T1WI : low SI, T2WI : intermediate SI Homogeneously e+, lesser degree than normal parenchyma
•Comparison among lymphoma,
autoimmune pancreatitis and pancreatic adenocarcinoma Insights
Imaging. 2013 Jun; 4(3): 321–329
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| References | |||
| Keywords | Peritoneum , tumor | ||
| Attachment File | - | ||
Number of Applicants : 25
| Correct Answer | 7 |
| Mayo Clinic | Akitoshi Inoue |
| University of Tokyo Hospital | Toshihiro Furuta |
| 서울아산병원 | 김경원 |
| 서울아산병원 | 김지훈 |
| 고대구로병원 | 김하정 |
| 고대안산병원 | 유중현 |
| 장수군 보건의료원 공보의 | 이재호 |
| Semi-Correct Answer | 1 |
| 고대안산병원 | 최벽경 |