Department of Radiology, Chonnam National University Hwasun Hospital and Medical School, Hwasun-gun, Jeonnam, Korea.
Korean J Radiol. 2011 Jul-Aug;12(4):510-4. doi: 10.3348/kjr.2011.12.4.510. Epub 2011 Jul 22.
We report here on a case of localized lymphoid hyperplasia of the pancreas in a 70-year-old man which manifested as double lesions (uncinate process and tail) in the organ. The lesions were incidentally detected as hypoechoic lesions on ultrasonography and they appeared as delayed enhancing lesions on the contrast-enhanced dynamic CT and MRI. Total pancreatectomy was performed, because malignant tumor could not be excluded according to the preoperative imaging studies and the endoscopic ultrasound-guided biopsy failed. Pathology revealed localized lymphoid hyperplasia. The patient had an uneventful postoperative course. He has been alive for 18 months after surgery.
我们在此报告一例 70 岁男性胰腺局限性淋巴组织增生病例，该病例在胰腺呈现出两个病灶（钩突和胰尾）。这些病变在超声检查中表现为低回声病变，在对比增强动态 CT 和 MRI 上表现为延迟增强病变。由于术前影像学检查不能排除恶性肿瘤的可能，且内镜超声引导下活检也未能明确诊断，因此患者接受了全胰切除术。术后病理证实为局限性淋巴组织增生。患者术后恢复顺利，无并发症。截至术后 18 个月，患者仍存活。
