Xanthogranulomatous Pancreatitis Presents as a Solid Tumor Mass: A Case Report.
10.3346/jkms.2011.26.4.583
- Author:
Han Seong KIM
1
;
Mee JOO
;
Sun Hee CHANG
;
Hwa Young SONG
;
Tae Jun SONG
;
Jung Wook SEO
;
Chul Nam KIM
Author Information
1. Department of Pathology, Inje University Ilsan Paik Hospital, Goyang, Korea. hskim@paik.ac.kr
- Publication Type:Case Report ; Research Support, Non-U.S. Gov't
- Keywords:
Xanthogranulomatous;
Inflammation;
Pancreatitis;
Neoplasms
- MeSH:
Aged;
Diagnosis, Differential;
Duodenum/surgery;
Female;
Granuloma/complications/*diagnosis/pathology;
Humans;
Pancreas/surgery;
Pancreatic Neoplasms/pathology;
Pancreatitis/complications/*diagnosis/pathology;
Positron-Emission Tomography;
Tomography, X-Ray Computed;
Xanthomatosis/complications/*diagnosis/pathology
- From:Journal of Korean Medical Science
2011;26(4):583-586
- CountryRepublic of Korea
- Language:English
-
Abstract:
Xanthogranulomatous inflammation (XGI) is a rare, idiopathic process in which lipid-laden histiocytes are deposited at various locations in the body. Although XGI has been reported to occur in various organs such as the gallbladder, kidney, bone, stomach, colon, appendix, lymph nodes, urachus, and urinary bladder and in soft tissues, xanthogranulomatous pancreatitis (XGP) is extremely rare. Herein, we report a case of XGP occurring in a 70-yr-old woman, who presented with abdominal pain for several months. On physical examination, mild epigastric tenderness was noted. Abdomen CT scan revealed a low attenuated mass in uncinate process of pancreas, suggesting malignant lesion. Whipple's operation was performed and the final pathologic diagnosis was XGP. The patient's post-operative course was uneventful, and no recurrence was found within 7 months of the operation. When a pancreatic mass does not show clinico-radiological features typical of common pancreatic neoplasms, XGP should be considered for a differential diagnosis.
