Pancreatic Lipoma with a Solid Nodule Mimicking Invasion from Adjoining Intraductal Papillary Mucinous Neoplasm

Overview

Journal Radiol Case Rep

Publisher Elsevier

Specialty Radiology

Date 2016 Jun 4

PMID 27257448

Citations 2

Authors

Yoko Namiki

Eriko Maeda

Wataru Gonoi

Nobuhisa Akamatsu

Masako Ikemura

Kuni Ohtomo

Affiliations

Soon will be listed here.

Abstract

A 74-year-old man was referred to our hospital for a mass in the pancreatic head found during screening chest computed tomography. Contrast computed tomography showed a 5-cm multicystic mass with an irregular border containing a solid component showing contrast enhancement. Caudal to this mass, a 5-cm solid mass of fat density with a nodular soft-tissue component was found. Cytology of the aspirated pancreatic fluid revealed malignant cells, and surgery was performed for suspected intraductal papillary mucinous carcinoma. Pathologic analysis of the resected specimen revealed a collision tumor of intraductal papillary mucinous neoplasm (IPMN) with high-grade dysplasia and pancreatic lipoma. The soft-tissue component within the lipoma was a nodule consisting of pancreatic tissue with inflammatory infiltration and hyalinization and was not associated with IPMN invasion.

Citing Articles

Pancreatic ductal adenocarcinoma arising from the pancreatic parenchyma compressed by a huge pancreatic lipoma: a case report.

Nakahara S, Doi S, Nishiwada S, Yasuda S, Nagai M, Nakamura K Surg Case Rep. 2023; 9(1):136.

PMID: 37526778 PMC: 10393912. DOI: 10.1186/s40792-023-01720-w.

First reported case of a collision tumor composed of pancreatic adenocarcinoma and retroperitoneal liposarcoma: a case report.

Buchner D, Hieggelke L, Loser H, Bruns C, Quaas A, Ghadimi M BMC Cancer. 2018; 18(1):1243.

PMID: 30541485 PMC: 6292103. DOI: 10.1186/s12885-018-5151-6.

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