Department of Radiology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Jpn J Radiol. 2012 Feb;30(2):171-5. doi: 10.1007/s11604-011-0021-z. Epub 2011 Dec 17.
Inflammatory pseudotumor of the spleen is an uncommon benign mass-like lesion. It can occur in an accessory spleen, which may be found rarely in the pancreas tail. Here, we report the case of a 51-year-old woman with an inflammatory pseudotumor of the intrapancreatic accessory spleen mimicking a fibrous pancreatic mass with hemosiderin deposition. To the best of our knowledge, this is the first case report including radiological and histopathological findings of this extremely rare condition. In conclusion, inflammatory pseudotumor of an intrapancreatic accessory spleen should be regarded as a differential diagnosis in the case of a fibrotic mass with hemosiderin deposition located in the pancreas tail.
脾脏炎性假瘤是一种不常见的良性肿块样病变。它可发生于副脾,而副脾在胰腺尾部很少见。本文报道了 1 例 51 岁女性患者,其胰腺内副脾的炎性假瘤表现为纤维性胰腺肿块伴含铁血黄素沉积,这种情况极为罕见。据我们所知,这是首例报道该病例的影像学和组织病理学表现的病例。总之,对于位于胰腺尾部的纤维化肿块伴含铁血黄素沉积,应考虑胰腺内副脾炎性假瘤为鉴别诊断。