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ABDOMEN / Pancreas   78 / F,  Incidental finding
2020-07-01
About Author
Authors Heejin Kwon
Institution Dong-A University Hospital
E-mail risual@dau.ac.kr
About Case
Chief complaint
or Title
Incidental finding
Subspecialty ABDOMEN / Pancreas
Classification Neoplasm, Malignancy / lymphoma
Age 78 Sex F
Difficulty For resident, For specialist
Modality US, CT, MR
Case Figures
Quiz
Click above Figure for more images.
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


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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