Year 2024 / Volume 116 / Number 7
Digestive Diseases Image
Imaging of pancreatic desmoid fibromatosis by endoscopic ultrasound

374-375

DOI: 10.17235/reed.2023.9792/2023

Yuping Zhang, Xi Wu, Guodong Li, Haiyan Dong,

Abstract
Desmoid type fibromatosis (DTF) is a rare intermediate soft tissue tumor. Here we report a case of DTF located in the tail of pancreas. A 39-year-old female presented epigastric pain of 1 week duration. An abdominal magnetic resonance imaging revealed a 3.4-cm irregular contour solid mass in the tail of the pancreas that was interpreted by radiology as suspicious for a benign pancreatic tumor. Endoscopic ultrasound (EUS) showed an irregularly shaped hypoechoic, heterogeneous mass within the tail of pancreas invading the adjacent gastric wall, suggesting a diagnosis of malignant pancreatic tumor. Subsequently, surgery consisted of a distal pancreatectomy, splenectomy and combined partial resection of the stomach, was performed. The immunohistochemistry and histopathological features were consistent with a diagnosis of pancreatic desmoid type fibromatosis. EUS is very useful for visually defining the location and character of pancreatic DTF and to determine whether the major vessels and the adjacent organs are infiltrated.
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References
1. Penel N, Kasper B, van Der Graaf WTA. Desmoid-type fibromatosis: toward a holistic management. Curr Opin Oncol 2021;33:309-314.
2. Park CG, Lee YN, Kim WY. Desmoid type fibromatosis of the distal pancreas: A case report. Ann Hepatobiliary Pancreat Surg 2021;25:276-282.
3. Stone AB, Mallery JS, Stewart J, 3rd, et al. A rare sporadic pancreatic desmoid fibromatosis diagnosed by endoscopic ultrasound-guided fine-needle aspiration: Case report and literature review. Diagn Cytopathol 2021;49:E49-E54.
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Zhang Y, Wu X, Li G, Dong H. Imaging of pancreatic desmoid fibromatosis by endoscopic ultrasound. 9792/2023


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Publication history

Received: 19/06/2023

Accepted: 14/09/2023

Online First: 29/09/2023

Published: 08/07/2024

Article Online First time: 102 days

Article editing time: 385 days


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