Xanthogranulomatous pancreatitis presents as a solid tumor mass: a case report.

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.

journal_name

J Korean Med Sci

authors

Kim HS,Joo M,Chang SH,Song HY,Song TJ,Seo JW,Kim CN

doi

10.3346/jkms.2011.26.4.583

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

583-6

issue

4

eissn

1011-8934

issn

1598-6357

journal_volume

26

pub_type

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