Solitary fibrous tumor of the pancreas.

A 67-year-old woman was found to have an incidental pancreatic mass on computed tomographic examination of her abdomen in the course of investigation of hematuria. The radiologic features were of a hypervascular mass in the uncinate process of the head of the pancreas, and a preoperative diagnosis o...

पूर्ण विवरण

ग्रंथसूची विवरण
मुख्य लेखकों: Chetty, R, Jain, R, Serra, S
स्वरूप: Journal article
भाषा:English
प्रकाशित: 2009
_version_ 1826283354027196416
author Chetty, R
Jain, R
Serra, S
author_facet Chetty, R
Jain, R
Serra, S
author_sort Chetty, R
collection OXFORD
description A 67-year-old woman was found to have an incidental pancreatic mass on computed tomographic examination of her abdomen in the course of investigation of hematuria. The radiologic features were of a hypervascular mass in the uncinate process of the head of the pancreas, and a preoperative diagnosis of a neuroendocrine tumor was favored. A Whipple procedure was performed. The uncinate process contained a 2.6-cm well-circumscribed mass. Histologic evaluation showed a lesion composed of alternating hypercellular areas made up of spindle-shaped cells and hypocellular areas with hyalinized, keloidal-like fibrous tissue. Occasional dilated vascular channels and entrapped pancreatic tissue were present within the lesion. Immunohistochemistry showed the lesion to be CD34, CD99, and bcl-2 positive. No evidence of atypia was noted, and the overall impression was of a benign solitary fibrous tumor of the pancreas. This is an unusual primary spindle cell neoplasm of the pancreas and should be considered in the differential diagnosis of all spindle cell lesions that occur in the pancreas.
first_indexed 2024-03-07T00:57:38Z
format Journal article
id oxford-uuid:88a1a6a0-4f19-4f67-90cb-6e4f488ba466
institution University of Oxford
language English
last_indexed 2024-03-07T00:57:38Z
publishDate 2009
record_format dspace
spelling oxford-uuid:88a1a6a0-4f19-4f67-90cb-6e4f488ba4662022-03-26T22:18:40ZSolitary fibrous tumor of the pancreas.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:88a1a6a0-4f19-4f67-90cb-6e4f488ba466EnglishSymplectic Elements at Oxford2009Chetty, RJain, RSerra, SA 67-year-old woman was found to have an incidental pancreatic mass on computed tomographic examination of her abdomen in the course of investigation of hematuria. The radiologic features were of a hypervascular mass in the uncinate process of the head of the pancreas, and a preoperative diagnosis of a neuroendocrine tumor was favored. A Whipple procedure was performed. The uncinate process contained a 2.6-cm well-circumscribed mass. Histologic evaluation showed a lesion composed of alternating hypercellular areas made up of spindle-shaped cells and hypocellular areas with hyalinized, keloidal-like fibrous tissue. Occasional dilated vascular channels and entrapped pancreatic tissue were present within the lesion. Immunohistochemistry showed the lesion to be CD34, CD99, and bcl-2 positive. No evidence of atypia was noted, and the overall impression was of a benign solitary fibrous tumor of the pancreas. This is an unusual primary spindle cell neoplasm of the pancreas and should be considered in the differential diagnosis of all spindle cell lesions that occur in the pancreas.
spellingShingle Chetty, R
Jain, R
Serra, S
Solitary fibrous tumor of the pancreas.
title Solitary fibrous tumor of the pancreas.
title_full Solitary fibrous tumor of the pancreas.
title_fullStr Solitary fibrous tumor of the pancreas.
title_full_unstemmed Solitary fibrous tumor of the pancreas.
title_short Solitary fibrous tumor of the pancreas.
title_sort solitary fibrous tumor of the pancreas
work_keys_str_mv AT chettyr solitaryfibroustumorofthepancreas
AT jainr solitaryfibroustumorofthepancreas
AT serras solitaryfibroustumorofthepancreas