Mustafa Hasbahceci1, Cengiz Erol2, Fatih Basak3, Ahmet Barman4, Mehmet Seker4. 1. Department of General Surgery, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey. 2. Department of Radiology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey. 3. Department of General Surgery, Umraniye Education and Research Hospital, Istanbul, Turkey. 4. Department of Radiology, Istanbul 29 May Hospital, Istanbul, Turkey.
Abstract
OBJECTIVE: Fatty tumours of the pancreas are rarely reported. With the advent of the imaging techniques, diagnosis of such tumours based on radiologic imaging is increasing. MATERIALS AND METHODS: Between June 2006 and June 2012, four patients with pancreatic lipomas that were diagnosed by computed tomography were reviewed retrospectively with regard to their imaging findings. There were 3 male and one female patient with a mean age of 60.8 years (from 53 to 67 years). RESULTS: A single well-bordered nodular fatty lesion with well-delineated thin homogeneous capsule was seen in all patients. The mean densitometric measurement of the lesions was -76 Hounsfield units (HU) (from -83 HU to -63 HU). The size of the lesions was from 7 mm to 12 mm with a mean of 8.75mm. They were located in the tail, body and neck of the pancreas in two, one and one patient, respectively. There was no associated pancreatobiliary pathology. Histopathologic evaluation was not planned because of their incidental diagnosis in these asymptomatic patients. CONCLUSION: Pancreatic lipomas are silent lesions, incidentally found during imaging procedures. They have specific computed tomography findings and do not require any additional diagnostic imaging.
OBJECTIVE: Fatty tumours of the pancreas are rarely reported. With the advent of the imaging techniques, diagnosis of such tumours based on radiologic imaging is increasing. MATERIALS AND METHODS: Between June 2006 and June 2012, four patients with pancreatic lipomas that were diagnosed by computed tomography were reviewed retrospectively with regard to their imaging findings. There were 3 male and one female patient with a mean age of 60.8 years (from 53 to 67 years). RESULTS: A single well-bordered nodular fatty lesion with well-delineated thin homogeneous capsule was seen in all patients. The mean densitometric measurement of the lesions was -76 Hounsfield units (HU) (from -83 HU to -63 HU). The size of the lesions was from 7 mm to 12 mm with a mean of 8.75mm. They were located in the tail, body and neck of the pancreas in two, one and one patient, respectively. There was no associated pancreatobiliary pathology. Histopathologic evaluation was not planned because of their incidental diagnosis in these asymptomatic patients. CONCLUSION:Pancreatic lipomas are silent lesions, incidentally found during imaging procedures. They have specific computed tomography findings and do not require any additional diagnostic imaging.
Authors: Osman Temizoz; Hakan Genchellac; Ercument Unlu; Fatih Kantarci; Hasan Umit; Mustafa Kemal Demir Journal: Can Assoc Radiol J Date: 2010-03-28 Impact factor: 2.248