| Literature DB >> 30898942 |
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