Pancreatic Hamartoma Difficult to Diagnose Preoperatively |
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Authors: | Tatsuya Noguchi Shomei Ryozawa Masafumi Mizuide Yuki Tanisaka Akashi Fujita Tomoya Ogawa Masahiro Suzuki Hiromune Katsuda Koji Nagata Tomonori Kawasaki Masayasu Aikawa Kojun Okamoto |
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Affiliation: | 1.Department of Gastroenterology, Saitama Medical University International Medical Center, Japan; 2.Department of Pathology, Nippon Medical School Tama Nagayama Hospital, Japan; 3.Department of Pathology, Saitama Medical University International Medical Center, Japan; 4.Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Japan |
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Abstract: | Abdominal ultrasonography in a 70-year-old woman showed a hypoechoic mass, 14 mm in diameter, in the pancreatic body. Computed tomography showed a mass with contrast effect in the pancreatic body. Test results for endocrine factors or tumor markers were normal. The initial consideration was nonfunctional pancreatic neuroendocrine tumor. Over 8 years of monitoring, the tumor diameter increased to 18 mm, until pancreatic tumor enucleation was performed. The postoperative diagnosis was pancreatic hamartoma, a rare type of benign pancreatic tumor. The preoperative diagnosis of pancreatic hamartoma is difficult, but consideration must be given to the possibility of hamartoma when encountering pancreatic tumors. |
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Keywords: | pancreatic hamartoma pancreatic neuroendocrine tumor |
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