Knife wielding radiologist: A case report of primary pancrea
Primary pancreatic lymphoma (PPL) is an extremely rare solid neoplasm. It constitutes of less than 2% of extranodal lymphomas and 0.5% of all pancreatic masses.

Published in the European Journal of Radiology Open, the authors report a case of PPL, focusing on current literature regarding key imaging features and clinical presentation, and why the ability to differentiate at the stage of diagnostic imaging can influence further management.

A 36-year-old female with history of tobacco and alcohol abuse presented with 4 weeks of progressive constant circumferential pain across the upper abdomen and lumbar region accompanied by nausea, vomiting, diarrhea and unintentional 11-pound weight loss.

(CECT) of the abdomen and pelvis was performed with series obtained in the late arterial and delayed phases, revealing a large hypodense lesion centered within the junction of the neck/body of the pancreas with mild dilation of the pancreatic duct. Adjacent to the lesion was a bulky conglomerate of mesenteric lymph nodes extending below the level of the renal veins.

It was concluded that a primary malignancy with central necrosis was the primary concern. However, with the clinical history, additional considerations were given to inflammatory or infectious causes. The patient was clinically treated as having pancreatitis and provided with parental fluids, bowel rest, and pain control with improvement of symptoms and tolerance of oral intake after four days of inpatient management.

Continue to read here: https://pxmd.co/GVyPW
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