Intrapancreatic accessory spleen: an important differential to consider before surgery
Solid tumours in the tail of the pancreas may present a diagnostic dilemma if the clinical history, imaging features or cytology is not conclusive. The common differential diagnoses for a pancreatic tail mass are a primary malignancy, neuroendocrine tumour or a retroperitoneal tumour. However a comp...
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| Main Authors: | , , |
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| Format: | Book |
| Published: |
Elsevier,
2014-12-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | Solid tumours in the tail of the pancreas may present a diagnostic dilemma if the clinical history, imaging features or cytology is not conclusive. The common differential diagnoses for a pancreatic tail mass are a primary malignancy, neuroendocrine tumour or a retroperitoneal tumour. However a comparison to the adjacent spleen on imaging may help identify aberrant splenic tissue. We present the case of an incidental finding of a solid tumour in the tail of the pancreas, which was resected and a histological diagnosis of an intrapancreatic spleen (IPAS) was made. A suspicion of IPAS when reviewing the imaging may have prevented the resection of a benign tumour. |
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| Item Description: | 2214-3300 10.1016/j.ehpc.2014.08.001 |