AI Summary & Key Takeaways
AI InsightIn the differential diagnosis of cases with pancreatic mass lesion, retroperitoneal fibrosis should also be considered.
📌 3 Key Takeaways
Abstract
A 63-year-old woman with upper abdominal pain radiating to her back was admitted to the hospital, and a mass lesion was identified involving pancreatic body and tail, with peripancreatic lymph node enlargement. The patient had normal tumor marker levels, a very high erythrocyte sedimentation rate (104) and negative malignant cells in fine needle aspiration cytology. The patient underwent laparotomy and histological findings of mass were consistent with retroperitoneal fibrosis. She has been in remission after long-term steroid treatment. In the differential diagnosis of cases with pancreatic mass lesion, retroperitoneal fibrosis should also be considered.
Özet
Karın ve sırt ağrısıyla müracaat eden, 63 yaşındaki kadın hastanın pankreas gövde ve kuyruk kısmını tamamen infiltre eden, lenf bezi büyümesiyle beraber olan kitle saptandı. Hastaya sedimentasyon yüksekliği (104 mm/h), tümör markerlerinin negatişiğ i ve ince iğne aspirasyon biyopsisinde malignite saptanmaması nedeniyle laparatomi yapıldı. Laparatomi sonrası retroperitoneal fibrosis tanısı konuldu. Hasta steroid tedavisi sonrası remisyona girdi. Retroperitoneal fibrosis pankreas tümörleriyle karışabilen nadir sebeplerden biridir.