A rare tumour of pancreas in an incidentally discovered pancreatic lipoma

Kishan, Tatikonda Venkat; S, Pavithra; Bhuvana, Nuthalapati Sri; Kotha, V.; Moorthy, Ramana S.

doi:10.1016/j.mjafi.2013.09.010

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…These tumours are characteristically well-defined, homogeneous and usually hyperechoic. They do not show colour uptake on Doppler imaging [1] . They are seen as small hyperechoic lesions with sharp regular borders, as in our case.…”

Section: Discussionmentioning

confidence: 87%

“…Lipomas are benign tumours of mesenchymal origin, and are very uncommon in the pancreas. The true incidence of pancreatic lipomasis unknown as they are usually detected as incidental findings on CT and MRI [1] . These lipomas have characteristic imaging features which allow a correct diagnosis to be made without the need for histopathological confirmation.…”

Section: Discussionmentioning

confidence: 99%

“…Important differential diagnoses to consider include fatty replacement, pseudohypertrophic lipomatosis, teratoma and liposarcoma. Pseudohypertrophy of the pancreas is a rarer condition in which the pancreas is enlarged, either by diffuse fatty infiltration or due to the appearance of multiple fatty masses [1] . Teratoma is also rare in the pancreas and is diagnosed when a lesion with variegated density is seen…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Pancreatic Lipoma: A Pancreatic Incidentaloma Diagnosis with Computed Tomography

Beddi

Merzem

Harmak

et al. 2021

European Journal of Case Reports in Internal Medicine

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Lipoma of the pancreas is a rare benign tumour which is usually discovered incidentally on imaging. We present a case of an incidentally discovered pancreatic lipoma in a 79-year-old man with non-metastatic prostate adenocarcinoma who was referred to radiology for follow-up imaging. Fat-containing tumours originating from the pancreas are very rare. Most lipomas show characteristic features on imaging that allow their differentiation. We present the imaging features of a pancreatic lipoma on ultrasound, CT and MRI, discuss the differential diagnosis, and provide a brief review of the literature.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pancreatic Lipoma: A Pancreatic Incidentaloma Diagnosis with Computed Tomography

Beddi

Merzem

Harmak

et al. 2021

European Journal of Case Reports in Internal Medicine

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“…A esteatose pancreática descreve uma doença que vai desde a Brazilian Journal of Health Review, Curitiba, v.4, n.6, p. 24090-24097 nov./dec. 2021 infiltração de gordura no pâncreas até a inflamação pancreática com o desenvolvimento de fibrose pancreática (KISHAN et al, 2015).…”

Section: Introductionunclassified

Lipomatose pseudohiperplasica do pâncreas: Relato de caso / Pseudohyperplastic lipomatosis of the pancreas: a case report

Peres¹,

Resende²,

Fonseca³

et al. 2021

Braz. J. Hea. Rev.

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A pseudo-hipertrofia lipomatosa do pâncreas é uma doença rara caracterizada pelo aumento focal ou difuso do pâncreas devido à substituição do parênquima exócrino por tecido adiposo. A maioria dos lipomas apresenta características de imagem que permitem sua diferenciação. Na maioria dos casos, o diagnóstico preciso é obtido sem qualquer confirmação histopatológica. Apresentamos neste artigo um caso clínico e uma breve revisão da literatura.

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A huge pancreatic lipoma mimicking a well-differentiated liposarcoma: A case report and systematic literature review

Xiao

Yao

Wang

2019

WJCC

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BACKGROUND Pancreatic lipomas are thought to be very rare. Lipomas are usually easy to identify on imaging, particularly via computed tomography (CT). But sometimes it’s quite difficult to distinguish a lipoma from a well-liposarcoma without histologic result. CASE SUMMARY Here, we present a case of pancreatic lipoma in a 59-year-old female. She was asymptomatic and had no medical history of note. CT and magnetic resonance imaging revealed a mass like well-differentiated liposarcoma in the pancreatic head, positron emission tomography/CT showed a low fluorodeoxyglucose uptake and laboratory tests revealed elevated transaminase and carbohydrate antigen-199 levels. Finally, the patient underwent a pancreaticoduodenectomy. Histologically, mature adipocytes were noted in the bulk of the tumor. Accordingly, the pathologic diagnosis of the pancreatic neoplasm was lipoma. To our knowledge, this case is the first example of a suspected well-differentiated liposarcoma that was actually a pancreatic lipoma. We also highlight the radiological features distinguishing a pancreatic lipoma from a pancreatic liposarcoma and briefly review the literature. CONCLUSION Pancreatic lipomas show no obvious gender bias and most commonly occur in the head of the pancreas, of which the maximum diameters are often less than 5 cm, and small, asymptomatic non-compressed lipomas require follow-up only. Surgical excision should be considered when the tumor has compressed important tissues or is difficult to distinguish from a liposarcoma, the choice of surgery depends on the intraoperative presentation.

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A rare tumour of pancreas in an incidentally discovered pancreatic lipoma

Cited by 4 publications

References 7 publications

Pancreatic Lipoma: A Pancreatic Incidentaloma Diagnosis with Computed Tomography

Pancreatic Lipoma: A Pancreatic Incidentaloma Diagnosis with Computed Tomography

Lipomatose pseudohiperplasica do pâncreas: Relato de caso / Pseudohyperplastic lipomatosis of the pancreas: a case report

A huge pancreatic lipoma mimicking a well-differentiated liposarcoma: A case report and systematic literature review

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