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Incidental detection of pancreatic hemangioma mimicking a metastatic tumor of renal cell carcinoma
Adult pancreatic hemangioma is a rare disease. We presented a case of a woman with pancreatic tail mass mimicking a distant metastasis from the kidney. A 68-year-old woman was found with a left kidney mass on medical checkup. Computed tomography scan showed a 4.3 cm-sized mass in the left kidney, su...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Association of Hepato-Biliary-Pancreatic Surgery
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874050/ https://www.ncbi.nlm.nih.gov/pubmed/27212999 http://dx.doi.org/10.14701/kjhbps.2016.20.2.93 |
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author | Kim, Sung Hyun Kim, Ji-Ye Choi, Jin Young Choi, Young Deuk Kim, Kyung Sik |
author_facet | Kim, Sung Hyun Kim, Ji-Ye Choi, Jin Young Choi, Young Deuk Kim, Kyung Sik |
author_sort | Kim, Sung Hyun |
collection | PubMed |
description | Adult pancreatic hemangioma is a rare disease. We presented a case of a woman with pancreatic tail mass mimicking a distant metastasis from the kidney. A 68-year-old woman was found with a left kidney mass on medical checkup. Computed tomography scan showed a 4.3 cm-sized mass in the left kidney, suggesting renal cell carcinoma (RCC), and a strongly enhancing tiny nodule in the pancreatic tail. We could not rule the possibility of RCC metastasis, hence, surgical resection of the pancreatic mass simultaneously with radical nephrectomy for RCC was conducted. Gross pathologic examination revealed hemangioma. Immunohistochemistry revealed that the tumor was positive for CD34, CD31 and factor VIII-related antigen. There were no significant postoperative events, and the patient was discharged on postoperative day 7 without any complications. Treatment strategies for pancreatic hemangioma have not been established. To our knowledge, this was the first case report of asymptomatic pancreatic hemangioma. In previous literature, treatment differed on a case-by-case basis, ranging from observation to surgical resection. The most important factor in deciding whether to perform surgery is possibly risk-benefit effectiveness; however, tumor location, patient symptoms, and other factors are also important. |
format | Online Article Text |
id | pubmed-4874050 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Korean Association of Hepato-Biliary-Pancreatic Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-48740502016-05-22 Incidental detection of pancreatic hemangioma mimicking a metastatic tumor of renal cell carcinoma Kim, Sung Hyun Kim, Ji-Ye Choi, Jin Young Choi, Young Deuk Kim, Kyung Sik Korean J Hepatobiliary Pancreat Surg Case Report Adult pancreatic hemangioma is a rare disease. We presented a case of a woman with pancreatic tail mass mimicking a distant metastasis from the kidney. A 68-year-old woman was found with a left kidney mass on medical checkup. Computed tomography scan showed a 4.3 cm-sized mass in the left kidney, suggesting renal cell carcinoma (RCC), and a strongly enhancing tiny nodule in the pancreatic tail. We could not rule the possibility of RCC metastasis, hence, surgical resection of the pancreatic mass simultaneously with radical nephrectomy for RCC was conducted. Gross pathologic examination revealed hemangioma. Immunohistochemistry revealed that the tumor was positive for CD34, CD31 and factor VIII-related antigen. There were no significant postoperative events, and the patient was discharged on postoperative day 7 without any complications. Treatment strategies for pancreatic hemangioma have not been established. To our knowledge, this was the first case report of asymptomatic pancreatic hemangioma. In previous literature, treatment differed on a case-by-case basis, ranging from observation to surgical resection. The most important factor in deciding whether to perform surgery is possibly risk-benefit effectiveness; however, tumor location, patient symptoms, and other factors are also important. Korean Association of Hepato-Biliary-Pancreatic Surgery 2016-05 2016-05-11 /pmc/articles/PMC4874050/ /pubmed/27212999 http://dx.doi.org/10.14701/kjhbps.2016.20.2.93 Text en Copyright © 2016 by The Korean Association of Hepato-Biliary-Pancreatic Surgery http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Sung Hyun Kim, Ji-Ye Choi, Jin Young Choi, Young Deuk Kim, Kyung Sik Incidental detection of pancreatic hemangioma mimicking a metastatic tumor of renal cell carcinoma |
title | Incidental detection of pancreatic hemangioma mimicking a metastatic tumor of renal cell carcinoma |
title_full | Incidental detection of pancreatic hemangioma mimicking a metastatic tumor of renal cell carcinoma |
title_fullStr | Incidental detection of pancreatic hemangioma mimicking a metastatic tumor of renal cell carcinoma |
title_full_unstemmed | Incidental detection of pancreatic hemangioma mimicking a metastatic tumor of renal cell carcinoma |
title_short | Incidental detection of pancreatic hemangioma mimicking a metastatic tumor of renal cell carcinoma |
title_sort | incidental detection of pancreatic hemangioma mimicking a metastatic tumor of renal cell carcinoma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874050/ https://www.ncbi.nlm.nih.gov/pubmed/27212999 http://dx.doi.org/10.14701/kjhbps.2016.20.2.93 |
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