Document Detail


Inflammatory pseudotumor of the pancreas resembling pancreatic cancer: clinical, diagnostic and therapeutic considerations.
MedLine Citation:
PMID:  15771041     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pancreatic masses could be malignant or benign. Among these latter inflammatory pseudotumor is an uncommon mass rarely located in the pancreas and it must be considered in differential diagnosis with pancreatic cancer. A case report and literature review of inflammatory pseudotumor were recognized to well known this rare pathology regarding its clinical, diagnostic, therapeutic and histopathological feature. Twenty-one cases of inflammatory pseudotumor in the adult were reviewed from the literature; 10 (47.6%) were female, 11 (52.3%) male; mean age 53.3 years (range 23-73). They were solid single mass in 18 cases, with median size of 5.1 cm (range 1.5-13), cystic mass in one case; 18 were located in the head, 1 in the body. In 2 cases it appeared as a volumetric increase of the pancreas. Diagnosis was possible only histologically and surgical treatment was mandatory in 20 cases; only in one patient a corticosteroid treatment was performed. Pancreatic inflammatory pseudotumor is a rare lesion of the pancreas but it must be distinguished from pancreatic cancer. Pancreatic resectioning is mainly due to the preoperative diagnostic difficulties that must be resolved surely only with histopathological examination of the specimen.
Authors:
Riccardo Casadei; Lida Piccoli; Barbara Valeri; Donatella Santini; Nicola Zanini; Francesco Minni; Domenico Marrano
Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article    
Journal Detail:
Title:  Chirurgia italiana     Volume:  56     ISSN:  0009-4773     ISO Abbreviation:  Chir Ital     Publication Date:    2004 Nov-Dec
Date Detail:
Created Date:  2005-03-17     Completed Date:  2005-04-15     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151753     Medline TA:  Chir Ital     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  849-58     Citation Subset:  IM    
Affiliation:
Department of Surgical and Anaesthesiology Sciences, I Surgical Clinic, University of Bologna S. Orsola-Malpighi Hospital.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Biopsy
Diagnosis, Differential
Female
Follow-Up Studies
Granuloma, Plasma Cell* / diagnosis,  pathology,  radiography,  surgery,  ultrasonography
Humans
Male
Middle Aged
Pancreas / pathology
Pancreatectomy
Pancreatic Diseases* / diagnosis,  pathology,  radiography,  surgery,  ultrasonography
Radiography, Abdominal
Time Factors
Tomography, Spiral Computed

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