Primary pancreatic lymphoma presenting as acute pancreatitis

Reddy, Deepa; Gumaste, Vivek; Benisovich, Vladimir

doi:10.1159/000073656

Cited by 8 publications

(5 citation statements)

References 11 publications

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“…Acute pancreatitis as a complication of adenocarcinoma of pancreas is well described [10,11]. There are also few case reports of acute pancreatitis as initial presentation of nodal NHL [12,13] and pancreatic lymphoma [2,14]. This is an important case report emphasizing the importance of distinguishing pancreatic lymphoma from pancreatic carcinoma.…”

Section: Discussionmentioning

confidence: 90%

“…Clinical features are often non-specific and therefore diagnosis is sometimes delayed. Non-specific abdominal pain (50%) and dyspepsia (30%) are the most common symptoms [2]. Pancreatic tumors such as adenocarcinoma, pancreatic lymphoma and metastases have been implicated in causation of acute pancreatitis and account for 1-2% of cases of acute pancreatitis [3].…”

Section: Introductionmentioning

confidence: 99%

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Burkitt Lymphoma Mimicking as Pancreas Adenocancer With Liver Metastases

et al. 2017

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Primary lymphomas of the pancreas are uncommon and Burkitt lymphoma (BL) involving pancreas is very rare. It is important to recognize this entity because it can resemble adenocarcinoma of the pancreas but its management is entirely different. We describe a case of synchronous pancreatic, duedonal and liver involvement of BL in a 34-year-old man who presented with acute pancreatitis. Abdominal computed tomography revealed a hypoechogenic area within the head of the pancreas and multiple hypoechogenic areas in the liver. Upper gastrointestinal (GI) endoscopy revealed multiple ulcerated polypoid lesions in the duodenum. Percutaneous fine-needle aspiration biopsy of the liver lesions and endoscopic biopsy of duedonal lesions revealed BL. This is an unusual presentation of BL with pancreatic, duedonal and liver involvement which mimicks as pancreas adenocarcinoma with liver and duedonal metastases.

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Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Burkitt Lymphoma Mimicking as Pancreas Adenocancer With Liver Metastases

et al. 2017

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“…It is uncommon in lymphomas but occurs more commonly with adult T-cell lymphomas and diffuse large B-cell lymphomas. In the literature, there are two reports of children with pancreatic lymphoma who had pancreatitis (5,6) and one case of Burkitt lymphoma (7). Given this patient's age and findings of a large 18 F FDG-avid thoracic malignancy, the most likely cause of these findings would be lymphoma, specifically Hodgkin lymphoma over nonHodgkin lymphoma.…”

Section: Discussionmentioning

confidence: 95%

Case 207: Hodgkin Lymphoma with Paraneoplastic Hypercalcemic Pancreatitis

Mittra

Davidzon

2014

Radiology

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The portable chest radiograph (Fig 1) showed a large left-sided mediastinal and pulmonary mass with a moderate left pleural effusion and a cardiomediastinal shift to the right. The technetium 99m ( 99m Tc) methyl diphosphonate bone scan (Fig 2) revealed diffuse linear uptake in the anterior left first and second ribs and diffuse mild soft-tissue uptake in the surrounding left hemithorax; otherwise, there was no HistoryA 15-year-old girl presented with a 2-month history of 30-lb (13.6 kg) weight loss, chest and abdominal pain, nausea, bilious emesis, cough, and shortness of breath. Initial blood count (performed at an outside hospital) showed elevated white blood cell and platelet counts but low hemoglobin and hematocrit levels. On examination, she had adenopathy in the left axillary and supraclavicular regions, fullness in the left chest, and abdominal guarding. Ultrasonography (US)-guided fine-needle aspiration biopsy of the left anterior chest wall mass was nondiagnostic, and lumbar puncture and bone marrow biopsies were negative. At that time, the patient underwent several imaging studies-including chest radiography; bone scanning; contrast material-enhanced computed tomography (CT) of the chest, abdomen, and pelvis; and fluorine 18 ( A follow-up PET/CT scan was performed approximately 2 months later after initial therapy.scintigraphic evidence of distant metastases in the skeleton. The contrastenhanced CT images (Fig 3) showed a large heterogeneous mass involving almost the entirety of the visualized portion of the left upper lobe. This mass was further seen to extend directly into the chest wall anteriorly and laterally and into the mediastinum. There was encasement of the great vessels, and the trachea was displaced to the right. Additional lymphadenopathy was seen in the contralateral meNote: This copy is for your personal non-commercial use only. To order presentation-ready copies for distribution to your colleagues or clients, contact us at www.rsna.org/rsnarights.

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“…Upper-gastric pain, unlike in pancreatic adenocarcinoma, rarely radiates to the back 7 . Interestingly, for 12% of PPL patients the diagnosis upon admission was acute pancreatitis [11][12][13][14] . Behrns et al 4 reported that jaundice was an infrequent finding, despite large lymphomatous masses involving the pancreatic head.…”

Section: Discussionmentioning

confidence: 99%