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ABDOMEN / Pancreas 78 / F, Incidental finding
Number of Applicants : 25
2020-07-01
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 |
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Semi-Correct Answer | 1 |
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