Unusual Features in an Adult Pancreatic Hemangioma: CT and MRI Demonstration

Lu, Z H; Wu, Mei

doi:10.3348/kjr.2013.14.5.781

Cited by 19 publications

(22 citation statements)

References 11 publications

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“…This is explained by the slow blood flow due to the presence of AV shunting. On MRI scan it appears as a lobulated, hypo-intense mass in T1-weighted images, and shows moderate hyperintensity signal in T2-weighted image [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…Usually, patients are strictly asymptomatic and abdominal imaging showed an incidental finding of pancreatic cystic lesion. Rarely, they present with pancreatitis or abnormalities in the liver function test [1][2][3][4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

“…A few cases are reported in literature. The radiological features of pancreatic hemangioma overlap with other cystic lesions of the pancreas like mucinous cystadenoma and intrapapillary ductal mucinous neoplasm of the pancreas [1][2][3][4]. Thus, most of the cases of pancreatic hemangioma end up in surgical resection due to the uncertainty of the diagnosis.…”

Section: Introductionmentioning

confidence: 99%

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Report of a case of pancreatic hemangioma: A difficult preoperative diagnosis

Warith¹,

Xavier²,

Fara³

et al. 2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes ABSTRACTHemangiomas can be found in various organs in the gastrointestinal tract but are rarely described in the pancreas. We report here a case of 71-year-old female who presented on abdominal computed tomography (CT) scan an incidental finding of cystic lesion in the tail of the pancreas. Follow-up magnetic resonance imaging scan after three months showed well demarcated multi loculated lesion increasing in size comparing to the last CT scan. The patient underwent laparoscopic distal pancreatectomy with splenectomy. The pathological analysis of the specimen showed a pancreatic hemangioma with no features of malignancy. The clinical presentation, radiological features and the modalities of diagnosis are here discussed.(This page in not part of the published article.)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Report of a case of pancreatic hemangioma: A difficult preoperative diagnosis

Warith¹,

Xavier²,

Fara³

et al. 2017

IJCRI

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“…Fluid-fluid levels in tumors display a radiological appearance of two fluid levels in the cystic section of tumors (4)(5)(6)(7)(8)(9)(10). This level is apparent on computed tomography (CT) and magnetic resonance imaging (MRI) scans, particularly on T2-weighted MRI scans (4)(5)(6)(7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

“…This level is apparent on computed tomography (CT) and magnetic resonance imaging (MRI) scans, particularly on T2-weighted MRI scans (4)(5)(6)(7)(8)(9)(10)(11). Previous studies have reported fluid-fluid levels in non-neurogenic tumors (4,5), as well as a small number of cranial nerve schwannomas, including trigeminal, glossopharyngeal and hypoglossal schwannomas (6)(7)(8). However, cystic VSs with fluid-fluid levels are fairly rare (3,6,9,10).…”

Section: Introductionmentioning

confidence: 99%

Multicystic vestibular schwannomas with fluid-fluid levels: A report of three cases

Hao

et al. 2015

Oncology Letters

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Abstract. The present study reported three rare cases of multicystic vestibular schwannoma with fluid-fluid levels. These three tumors exhibited apparent fluid-fluid levels that demonstrated a radiological appearance of two fluid levels in the cystic area. Two cases had an acute history, whereas one case presented with a chronic progression. A suboccipital retrosigmoid approach was used for access to the tumors and gross total resection was achieved in all the cases. During the surgical procedures, unclotted blood was observed, and the tumors were adhered to the facial nerve, other cranial nerves or the brain stem. In each case, the facial nerve function of the patients was impaired following surgery. The present study discussed the possible mechanism of the formation of the fluid-fluid levels, the effect of the fluid-fluid levels and the therapeutic strategy employed.

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Giant cell tumor of bone with secondary aneurysmal bone cyst does not have a higher risk of local recurrence

Tsukamoto

Aiba

Righi

et al. 2023

Journal of Surgical Oncology

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Background Fluid–fluid levels (FFLs) is found in 10%–16% of giant cell tumor of bone (GCTB), and the presence of FFLs raises the suspicion of GCTB with secondary aneurysmal bone cyst (ABC), which can lead to increased intraoperative bleeding and, blurring the operative field, be associated with a risk of local recurrence. The first objective of this study is to determine whether secondary ABC is associated with a higher risk of local recurrence after curettage in patients with GCTB of the extremities. The second objective of this study is to investigate the sensitivity, specificity, positive predictive value, and negative predictive value of the presence of FFLs detected on magnetic resonance imaging (MRI) to diagnose secondary ABC associated with GCTB. Methods Two hundred and eighty patients with GCTB of the extremities who underwent curettage at the authors' institutions between 1980 and 2021 were included in this study. Results Secondary ABC was found in 36 of 280 patients (12.9%) and local recurrence occurred in 66 of 280 patients (23.6%). Multivariate analysis showed no significant correlation between secondary ABC and local recurrence (hazard ratio [HR]: 1.87 (95% confidence interval [CI]: 1.00–3.53]; p = 0.051). Preoperative MRI revealed FFLs in 13 of 82 patients (15.9%). Sensitivity, specificity, positive predictive value, and negative predictive value of FFLs detected on preoperative MRI to diagnose secondary ABC were 36.8%, 90.5%, 53.8%, and 82.6%, respectively. Conclusion The results of this study showed that secondary ABC does not increase the risk of local recurrence after curettage in patients with GCTB of the extremities. Although rare, FFLs were present in patients with GCTB and half of those with FFLs detected on preoperative MRI had secondary ABC.

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Unusual Features in an Adult Pancreatic Hemangioma: CT and MRI Demonstration

Cited by 19 publications

References 11 publications

Report of a case of pancreatic hemangioma: A difficult preoperative diagnosis

Report of a case of pancreatic hemangioma: A difficult preoperative diagnosis

Multicystic vestibular schwannomas with fluid-fluid levels: A report of three cases

Giant cell tumor of bone with secondary aneurysmal bone cyst does not have a higher risk of local recurrence

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