Kamimura Tomomi, Katsube Takashi, Nishi Takeshi, Kawabata Yasunari, Tajima Yoshitsugu, Araki Asuka, Kaji Yasushi
Department of Radiology, Faculty of Medicine, Shimane University, Izumo, Japan.
Department of Digestive Organ and General Surgery, Faculty of Medicine, Shimane University, Izumo, Japan.
Acta Radiol Open. 2024 Aug 1;13(8):20584601241259847. doi: 10.1177/20584601241259847. eCollection 2024 Aug.
Lipomatous pseudohypertrophy of the pancreas (LPH) is a rare disease in which the pancreatic parenchyma is replaced with mature adipose tissue. It is an idiopathic condition whose diagnosis is made based on histopathological analyses. Herein, we report the case of a 50-year-old male patient with a lipomatous mass in the head of the pancreas on computed tomography for close examination of a renal tumor. We suspected liposarcoma, and laparotomy was performed. However, histological analyses revealed LPH. Several imaging findings of LPH can enable a noninvasive diagnosis and help its clinical approach.
胰腺脂肪性假肥大(LPH)是一种罕见疾病,其中胰腺实质被成熟脂肪组织替代。它是一种特发性疾病,其诊断基于组织病理学分析。在此,我们报告一例50岁男性患者,因对肾肿瘤进行仔细检查而行计算机断层扫描时发现胰腺头部有一脂肪性肿块。我们怀疑是脂肪肉瘤,遂进行了剖腹手术。然而,组织学分析显示为LPH。LPH的几种影像学表现有助于进行无创诊断并指导其临床处理。