Document Detail

Resected xanthogranulomatous pancreatitis.
MedLine Citation:
PMID:  18392724     Owner:  NLM     Status:  MEDLINE    
Xanthogranulomatous changes in the pancreas are extremely rare. A 66-year-old man presented with a 2-year history of epigastralgia. Computed tomography scan revealed a 4-cm low-density area around the body of the pancreas. Magnetic resonance imaging demonstrated that the mass appeared hyperintense on a T2-weighted image and isointense on a T1-weighted image. Based on a diagnosis of invasive ductal carcinoma of the pancreas, distal pancreatectomy and splenectomy were performed. Sections examined from the mass showed an aggregation of many foamy histiocytes, lymphocytes, and plasma cells. The surrounding pancreatic tissue showed fibrosis and chronic inflammation. These findings suggested a xanthogranulomatous inflammation, and resulted in a diagnosis of xanthogranulomatous pancreatitis.
Yasuo Shima; Yuichi Saisaka; Yoshihito Furukita; Takao Nishimura; Tadashi Horimi; Toshio Nakamura; Kimiaki Tanaka; Yuichi Shibuya; Kazuhide Ozaki; Yasuo Fukui; Madoka Hamada; Yutaka Nishioka; Takahiro Okabayashi; Toshikatsu Taniki; Sojiro Morita; Jun Iwata
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-06
Journal Detail:
Title:  Journal of hepato-biliary-pancreatic surgery     Volume:  15     ISSN:  0944-1166     ISO Abbreviation:  J Hepatobiliary Pancreat Surg     Publication Date:  2008  
Date Detail:
Created Date:  2008-04-08     Completed Date:  2008-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431940     Medline TA:  J Hepatobiliary Pancreat Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  240-2     Citation Subset:  IM    
Division of Gastroenterological Surgery, Kochi Health Sciences Center, 2125-1 Ike, Kochi 781-8555, Japan.
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MeSH Terms
Histiocytes / pathology
Lymphocytes / pathology
Pancreas / pathology*
Pancreatitis / diagnosis,  pathology*,  surgery*
Plasma Cells / pathology

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