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Pancreatic lipoma

Case contributed by Domenico Nicoletti
Diagnosis almost certain

Presentation

Incidental finding

Patient Data

Age: 80 years
Gender: Male
ct

Well defined solitary fat lesion within the pancreatic body. No pancreatic duct dilatation or significant mass effect.

Renal cysts and gallbladder calculi also demonstrated.

Annotated image

Yellow arrowhead indicating probable pancreatic lipoma.

Case Discussion

Pancreatic lipoma is a benign tumor of the pancreas consisting of fat tissues. These are typically asymptomatic and detected on radiological exams undertaken for some other health condition. Generally, no treatment is required unless mass effect causes symptoms.

Differentials would include pancreatic lipomatosis (which is more diffuse), or in rarer cases a dermoid or liposarcoma (although these can have calcification and partial enhancement).

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