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.
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References
Goldman RL: Benign neural invasion in chronic pancreatitis.J Clin Gastroenterol 6:41–44, 1984
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
Ferrucci JT Jr, Wittenberg J, Black EB, Kirkpatrick RH, Hall DA: Computed body tomography in chronic pancreatitis.Radiology 130:175–182, 1979
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
Neff CC, Simeone JF, Wittenberg J, Mueller PF, Ferrucci JT Jr: Inflammatory pancreatic masses.Radiology 150:35–38, 1984
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
Freeny PC, Lawson TL:Radiology of the Pancreas. New York-Heidelberg-Berlin: Springer-Verlag, 1982
Itai Y, Araki T, Tasaka A, Maruyama M: Computed tomography appearances of resectable pancreatic carcinoma.Radiology 143:719–726, 1982
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
Kunzmann A, Bowie JD, Rochester D: Texture patterns in pancreatic sonograms.Gastrointest Radiol 4:353–357, 1979
Bruhlmann W, Ruttimann A: Die Unterscheidung zwischen malignen und benignen Lasionen im retrograden Pankreatikogramm.Fortschr Röntgenstr 124:542–546, 1976
Ralls PW, Halls J, Renner I, Juttner H: Endoscopic retrograde cholangiopancreatography (ERCP) in pancreatic disease.Radiology 134:347–352, 1980
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
Gambill EE: Pancreatitis associated with pancreatic carcinoma: a study of 26 cases.Mayo Clin Proc 46:174–177, 1971
Niccolini DG, Graham JH, Banks PA: Tumor-induced acute pancreatitis.Gastroenterology 71:142–145, 1976
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
Tylen U: Angiographic differentiation between inflammatory disease and carcinoma of the pancreas.Acta Radiol Diagn 14:257–272, 1973
Levine E: Carcinoma of the pancreas presenting as acute pancreatitis: CT diagnosis.Gastrointest Radiol 6:29–33, 1981
Ariyama J, Shirakabe H, Sumida M, Bartram CI: Angiographic evaluation of the abnormal endoscopic pancreatogram.Gastrointest Radiol 4:231–237, 1979
Korobkin MT, Palubinskas AJ, Glickman MG: Pitfalls in arteriography of islet-cell tumors of the pancreas.Radiology 100:319–328, 1971
Howard JM, Nedwich A: Correlation of the histologic observations and operative findings in patients with chronic pancreatitis.Surg Gynecol Obstet 132:387–395, 1971
Bartow SA, Mukai K, Rosai J: Pseudoneoplastic proliferation of endocrine cells in pancreatic fibrosis.Cancer 47:2627–2633, 1981
Deutsch V, Adar R, Jacob ET, Bank H, Mozes M: Angiographic diagnosis and differential diagnosis of islet-cell tumors.AJR 119:121–132, 1973
Herlinger H: The angiographic diagnosis of insulinoma.Proc R Soc Med 69:618–620, 1976
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
Freeny PC, Lawson TL: Nonoperative pancreatic biopsy. InRadiology of the Pancreas. Heidelberg-Berlin: Springer Verlag, 1982, p 476
Mackie CR, Cooper MJ, Lewis MH, Moossa AR: Non-operative differentiation between pancreatic cancer and chronic pancreatitis.Ann Surg 189:480–487, 1979
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Lammer, J., Herlinger, H., Zalaudek, G. et al. Pseudotumorous pancreatitis. Gastrointest Radiol 10, 59–67 (1985). https://doi.org/10.1007/BF01893072
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DOI: https://doi.org/10.1007/BF01893072