Literature DB >> 30898942

Intrapancreatic accessory spleen: an enigmatic entity.

Namita Chavan1, Gunjan Shailesh Desai1, Chandralekha Tampi2, Prasad Wagle1.   

Abstract

Solitary hypervascular lesion in the distal body/tail of pancreas in a patient with non-specific abdominal symptoms is a diagnostic challenge. Neuroendocrine neoplasm (NEN) and metastasis from renal cell carcinoma are the most common differentials and intrapancreatic accessory spleen (IPAS) is the rarest of its differential diagnosis. We present, here, a case of a 56-year-old man with a space-occupying lesion in body/tail of pancreas that was preoperatively diagnosed as a NEN based on elevated chromogranin levels and hyperenhancing lesion on contrast-enhanced CT scan. He underwent a spleen-preserving distal pancreatectomy. The final histopathology revealed an IPAS. © BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Entities:  

Keywords:  neuroendocrinology; pancreas and biliary tract; pancreatic cancer; radiology (diagnostics); surgical oncology

Mesh:

Year:  2019        PMID: 30898942      PMCID: PMC6453294          DOI: 10.1136/bcr-2018-228510

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN: 1757-790X


  14 in total

1.  Lesions observed in accessory spleens of 311 patients.

Authors:  B HALPERT; F GYORKEY
Journal:  Am J Clin Pathol       Date:  1959-08       Impact factor: 2.493

2.  Intrapancreatic accessory spleen mimicking a neuroendocrine tumor: magnetic resonance findings and possible diagnostic role of different nuclear medicine tests.

Authors:  L E Brasca; A Zanello; A De Gaspari; F De Cobelli; A Zerbi; F Fazio; A Del Maschio
Journal:  Eur Radiol       Date:  2003-11-13       Impact factor: 5.315

3.  Radiologic imaging of splenic anomalies.

Authors:  W J Dodds; A J Taylor; S J Erickson; E T Stewart; T L Lawson
Journal:  AJR Am J Roentgenol       Date:  1990-10       Impact factor: 3.959

4.  Evaluation of chromogranin A expression in patients with non-neuroendocrine tumours.

Authors:  F Tropea; S Baldari; G Restifo; M T Fiorillo; P Surace; A Herberg
Journal:  Clin Drug Investig       Date:  2006       Impact factor: 2.859

5.  Intrapancreatic accessory spleen: a diagnostic dilemma.

Authors:  Bing-Qi Li; Xie-Qun Xu; Jun-Chao Guo
Journal:  HPB (Oxford)       Date:  2018-05-26       Impact factor: 3.647

6.  Diagnostic and therapeutic guidelines for gastro-entero-pancreatic neuroendocrine neoplasms (recommended by the Polish Network of Neuroendocrine Tumours).

Authors:  Beata Kos-Kudła; Jolanta Blicharz-Dorniak; Janusz Strzelczyk; Agata Bałdys-Waligórska; Tomasz Bednarczuk; Marek Bolanowski; Agnieszka Boratyn-Nowicka; Małgorzata Borowska; Andrzej Cichocki; Jarosław B Ćwikła; Massimo Falconi; Wanda Foltyn; Daria Handkiewicz-Junak; Alicja Hubalewska-Dydejczyk; Barbara Jarząb; Roman Junik; Dariusz Kajdaniuk; Grzegorz Kamiński; Agnieszka Kolasińska-Ćwikła; Aldona Kowalska; Robert Król; Leszek Królicki; Maciej Krzakowski; Jolanta Kunikowska; Katarzyna Kuśnierz; Paweł Lampe; Dariusz Lange; Anna Lewczuk-Myślicka; Andrzej Lewiński; Michał Lipiński; Magdalena Londzin-Olesik; Bogdan Marek; Anna Nasierowska-Guttmejer; Sergiusz Nawrocki; Ewa Nowakowska-Duława; Joanna Pilch-Kowalczyk; Violetta Rosiek; Marek Ruchała; Lucyna Siemińska; Anna Sowa-Staszczak; Teresa Starzyńska; Katarzyna Steinhof-Radwańska; Krzysztof Sworczak; Anhelli Syrenicz; Andrzej Szawłowski; Marek Szczepkowski; Ewa Wachuła; Wojciech Zajęcki; Anna Zemczak; Wojciech Zgliczyński; Krzysztof Zieniewicz
Journal:  Endokrynol Pol       Date:  2017       Impact factor: 1.582

7.  Intrapancreatic Accessory Spleen Misdiagnosed as a Nonsecreting Endocrine Tumor: Case Report and Review of the Literature.

Authors:  Anita Kurmann; Jean-Marie Michel; Edouard Stauffer; Bernhard Egger
Journal:  Case Rep Gastroenterol       Date:  2010-07-17

8.  Intrapancreatic accessory spleen mimicking endocrine tumor of the pancreas: case report and review of the literature.

Authors:  Shuichiro Uchiyama; Kazuo Chijiiwa; Masahide Hiyoshi; Jiro Ohuchida; Naoya Imamura; Motoaki Nagano; Hideki Hidaka; Kenji Yorita; Yutaka Akiyama; Motoshi Nishiura
Journal:  J Gastrointest Surg       Date:  2007-10-10       Impact factor: 3.452

Review 9.  Chromogranin A: From Laboratory to Clinical Aspects of Patients with Neuroendocrine Tumors.

Authors:  Paola Di Giacinto; Francesca Rota; Laura Rizza; Davide Campana; Andrea Isidori; Andrea Lania; Andrea Lenzi; Paolo Zuppi; Roberto Baldelli
Journal:  Int J Endocrinol       Date:  2018-07-02       Impact factor: 3.257

10.  Accessory spleen in pancreatic tail.

Authors:  Mark George; Tobias Evans; Andreas L Lambrianides
Journal:  J Surg Case Rep       Date:  2012-12-04
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  1 in total

1.  MDCT evaluation of pancreatic contour variations in head, neck, body and tail: surgical and radiological significance.

Authors:  Binit Sureka; Satya Jha; Arushi Yadav; Vaibhav Varshney; Subhash Soni; Jeewan Ram Vishnoi; Taruna Yadav; Pawan Kumar Garg; Pushpinder Singh Khera; Sanjeev Misra
Journal:  Surg Radiol Anat       Date:  2021-03-18       Impact factor: 1.246

  1 in total

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