A case of lipomatous pseudohypertrophy of the pancreas diagnosed by EUS-FNA

被引：0

作者：

Masuda, Atsuhiro ^{[1
]}

Tanaka, Hiroshi ^{[1
]}

Ikegawa, Takuya ^{[1
]}

Matsuda, Tomokazu ^{[2
]}

Shiomi, Hideyuki ^{[1
]}

Takenaka, Mamoru ^{[1
]}

Matsuki, Nobuyuki ^{[1
]}

Kakuyama, Saori ^{[1
]}

Sugimoto, Maki ^{[1
]}

Fujita, Tsuyoshi ^{[1
]}

Arisaka, Yoshifumi ^{[1
]}

Hayakumo, Takanobu ^{[1
]}

Hara, Shigeo ^{[3
]}

Azuma, Takeshi ^{[1
]}

Kutsumi, Hiromu ^{[1
]}

机构：

[1] Kobe Univ, Div Gastroenterol, Dept Internal Med, Grad Sch Med,Chuo ku, 7-5-1 Kusunoki Cho, Kobe, Hyogo 6500017, Japan

[2] Kobe Univ, Div Diabet Metab & Endocrinol, Dept Internal Med, Grad Sch Med, Kobe, Hyogo, Japan

[3] Kobe Univ, Div Diagnost Pathol, Grad Sch Med, Kobe, Hyogo, Japan

来源：

CLINICAL JOURNAL OF GASTROENTEROLOGY | 2012年 / 5卷 / 04期

关键词：

Lipomatous pseudohypertrophy of the pancreas; EUS-FNA; Adipose tissue;

D O I：

10.1007/s12328-012-0318-1

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We report the case of a 56-year-old female with lipomatous hypertrophy of the pancreas. Abdominal CT and MRI showed fatty replacement over the entire pancreas. The pancreatic parenchyma was completely absent. ERCP showed no abnormal findings in the main pancreatic duct. EUS-FNA was performed to achieve a definitive diagnosis. Histological features of the FNA specimens revealed that adipose tissue generally replaced the pancreatic parenchyma, and pancreatic acini were identified with a scattered distribution. To consider the differential diagnosis of lipomatous pseudohypertrophy of the pancreas, it is necessary to distinguish it from obesity, diabetes, and age-related pancreatic fat infiltration and liposarcoma. By performing EUS-FNA, it was possible to obtain a definitive diagnosis in this patient. In conclusion, EUS-FNA may be helpful to make a definitive diagnosis in patients with lipomatous hypertrophy of the pancreas.

引用

页码：282 / 286

页数：5

共 50 条

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