Skip to main content
Log in

Pseudotumorous pancreatitis

  • Published:
Gastrointestinal Radiology Aims and scope Submit manuscript

Abstract

Chronic pancreatitis can occasionally present as a focal, noncalcified mass, indistinguishable from carcinoma. Radiologic studies in 21 such patients were considered to show carcinoma in 16 and an islet cell tumor in 5 patients. Seventeen of the patients came to laparotomy when a palpable mass was found in each; 9 of the patients had a partial pancreatectomy, and multiple biopsy specimens were taken in 8 patients. Four patients did not come to surgery; in them the diagnosis was based on examination of percutaneous biopsy specimens and follow-up. In all patients the histologic diagnosis was chronic relapsing pancreatitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Goldman RL: Benign neural invasion in chronic pancreatitis.J Clin Gastroenterol 6:41–44, 1984

    CAS  PubMed  Google Scholar 

  2. Sarles H, Sarles JC, Camatte R, Muracore R, Gaini M, Guien C, Pastor J, Le Roy F: Observations on 205 confirmed cases of acute pancreatitis, recurring pancreatitis, and chronic pancreatitis.Gut 6:545–559, 1965

    CAS  PubMed  Google Scholar 

  3. Ferrucci JT Jr, Wittenberg J, Black EB, Kirkpatrick RH, Hall DA: Computed body tomography in chronic pancreatitis.Radiology 130:175–182, 1979

    CAS  PubMed  Google Scholar 

  4. Lammer J, Lepuschutz H, Sager WD, Kratochvil P, Brandstatter G, Zalaudek G: ERCP and CT in der Diagnostik von chronischer Pankreatitis, Pseudozysten und Pankreaskarzinom.Röntgenblätter 33:602–611, 1980

    CAS  PubMed  Google Scholar 

  5. Neff CC, Simeone JF, Wittenberg J, Mueller PF, Ferrucci JT Jr: Inflammatory pancreatic masses.Radiology 150:35–38, 1984

    CAS  PubMed  Google Scholar 

  6. Sager WD, Zur Nedden D, Lepuschutz H, Zalaudek G, Bodner E, Lammer J: Computertomographische Diagnostik der Pankreatitis and des Pankreaskarzinoms.Computertomographie 1:52–58, 1981

    CAS  PubMed  Google Scholar 

  7. Freeny PC, Lawson TL:Radiology of the Pancreas. New York-Heidelberg-Berlin: Springer-Verlag, 1982

    Google Scholar 

  8. Itai Y, Araki T, Tasaka A, Maruyama M: Computed tomography appearances of resectable pancreatic carcinoma.Radiology 143:719–726, 1982

    CAS  PubMed  Google Scholar 

  9. Cotton PB, Lees WR, Vallon AG, Cottone M, Croker JR, Chapman M: Gray-scale ultrasonography and endoscopic pancreatography in pancreatic diagnosis.Radiology 134:453–459, 1980

    CAS  PubMed  Google Scholar 

  10. Kunzmann A, Bowie JD, Rochester D: Texture patterns in pancreatic sonograms.Gastrointest Radiol 4:353–357, 1979

    Article  CAS  PubMed  Google Scholar 

  11. Bruhlmann W, Ruttimann A: Die Unterscheidung zwischen malignen und benignen Lasionen im retrograden Pankreatikogramm.Fortschr Röntgenstr 124:542–546, 1976

    CAS  Google Scholar 

  12. Ralls PW, Halls J, Renner I, Juttner H: Endoscopic retrograde cholangiopancreatography (ERCP) in pancreatic disease.Radiology 134:347–352, 1980

    CAS  PubMed  Google Scholar 

  13. Herlinger H, Finlay DBL: Evaluation and follow-up of pancreatic arteriograms. A new role for angiography in the diagnosis of carcinoma of the pancreas.Clin Radiol 29:277–284, 1978

    CAS  PubMed  Google Scholar 

  14. Gambill EE: Pancreatitis associated with pancreatic carcinoma: a study of 26 cases.Mayo Clin Proc 46:174–177, 1971

    CAS  PubMed  Google Scholar 

  15. Niccolini DG, Graham JH, Banks PA: Tumor-induced acute pancreatitis.Gastroenterology 71:142–145, 1976

    CAS  PubMed  Google Scholar 

  16. Van Waes L, Van Maele V, Demenlenaere L, Lamsseus C: Carcinoma of the pancreas presenting as relapsing pancreatitis.Am J Gastroenterol 68:88–90, 1977

    PubMed  Google Scholar 

  17. Tylen U: Angiographic differentiation between inflammatory disease and carcinoma of the pancreas.Acta Radiol Diagn 14:257–272, 1973

    CAS  Google Scholar 

  18. Levine E: Carcinoma of the pancreas presenting as acute pancreatitis: CT diagnosis.Gastrointest Radiol 6:29–33, 1981

    Article  CAS  PubMed  Google Scholar 

  19. Ariyama J, Shirakabe H, Sumida M, Bartram CI: Angiographic evaluation of the abnormal endoscopic pancreatogram.Gastrointest Radiol 4:231–237, 1979

    CAS  PubMed  Google Scholar 

  20. Korobkin MT, Palubinskas AJ, Glickman MG: Pitfalls in arteriography of islet-cell tumors of the pancreas.Radiology 100:319–328, 1971

    CAS  PubMed  Google Scholar 

  21. Howard JM, Nedwich A: Correlation of the histologic observations and operative findings in patients with chronic pancreatitis.Surg Gynecol Obstet 132:387–395, 1971

    CAS  PubMed  Google Scholar 

  22. Bartow SA, Mukai K, Rosai J: Pseudoneoplastic proliferation of endocrine cells in pancreatic fibrosis.Cancer 47:2627–2633, 1981

    CAS  PubMed  Google Scholar 

  23. Deutsch V, Adar R, Jacob ET, Bank H, Mozes M: Angiographic diagnosis and differential diagnosis of islet-cell tumors.AJR 119:121–132, 1973

    CAS  Google Scholar 

  24. Herlinger H: The angiographic diagnosis of insulinoma.Proc R Soc Med 69:618–620, 1976

    CAS  PubMed  Google Scholar 

  25. Foley WD, Stewart ET, Lawson TL, Greenan J, Loguidice J, Maher L, Unger GF: Computed tomography, ultrasonography and endoscopic retrograde cholangiopancreatography in the diagnosis of pancreatic disease: a comparative study.Gastrointest Radiol 5:29–35, 1980

    Article  CAS  PubMed  Google Scholar 

  26. Freeny PC, Lawson TL: Nonoperative pancreatic biopsy. InRadiology of the Pancreas. Heidelberg-Berlin: Springer Verlag, 1982, p 476

    Google Scholar 

  27. Mackie CR, Cooper MJ, Lewis MH, Moossa AR: Non-operative differentiation between pancreatic cancer and chronic pancreatitis.Ann Surg 189:480–487, 1979

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lammer, J., Herlinger, H., Zalaudek, G. et al. Pseudotumorous pancreatitis. Gastrointest Radiol 10, 59–67 (1985). https://doi.org/10.1007/BF01893072

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01893072

Key words

Navigation