Calculli Lucia, Festi Davide, Pezzilli Raffaele
Departments of Digestive Diseases and Internal Medicine, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, Bologna 40138, Italy.
Hepatobiliary Pancreat Dis Int. 2015 Feb;14(1):107-8. doi: 10.1016/s1499-3872(15)60329-0.
Pancreatic fat accumulation has been described with various terms including pancreatic lipomatosis, pancreatic steatosis, fatty replacement, fatty infiltration, fatty pancreas, lipomatous pseudohypertrophy and nonalcoholic fatty pancreas disease. It has been reported to be associated with type 2 diabetes mellitus, acute pancreatitis, pancreatic cancer and the formation of pancreatic fistula. The real incidence of this condition is still unknown. We report a case of pancreatic steatosis in a non-obese female patient initially diagnosed with a mass in the head of the pancreas. Magnetic resonance imaging (MRI) was carried out to define the characteristics of the pancreatic mass. MRI confirmed the diagnosis of fat pancreas. Enlarged pancreas is not always a cancer, but pancreatic steatosis is characterized by pancreatic enlargement. MRI could give a definite diagnosis of pancreatic steatosis or cancer.
胰腺脂肪堆积有多种描述术语，包括胰腺脂肪瘤病、胰腺脂肪变性、脂肪替代、脂肪浸润、脂肪胰腺、脂肪瘤样假性肥大和非酒精性脂肪胰腺疾病。据报道，它与2型糖尿病、急性胰腺炎、胰腺癌以及胰瘘的形成有关。这种情况的实际发病率仍然未知。我们报告一例非肥胖女性患者的胰腺脂肪变性病例，该患者最初被诊断为胰头肿块。进行了磁共振成像（MRI）以确定胰腺肿块的特征。MRI确诊为脂肪胰腺。胰腺肿大并不总是癌症，但胰腺脂肪变性的特征是胰腺肿大。MRI可以明确诊断胰腺脂肪变性或癌症。
