Pancreatic PEComa (sugar tumor): MDCT and EUS features

Juan C. Baez, Jean M. Landry, Jonathan R. Saltzman, Xiaohua Qian, Michael J. Zinner, Koenraad J. Mortelé

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Context: PEComas (tumors showing perivascular epithelioid cell differentiation) of the pancreas are exceedingly rare. Case report: We herein report on a 60-year-old female who noticed a bulge in her right upper quadrant while exercising. Subsequent multidetector-row CT scan showed a 3.5 cm well-defined, encapsulated, hypovascular, solid tumor in the body of the pancreas. Endoscopic ultrasound demonstrated a mixed hypo- and hyper-echoic, well-defined, heterogeneous tumor. Conclusions: Although three pancreatic PEComas (sugar tumors) have been described previously, to the best of our knowledge, this is the first report of a pancreatic PEComa with illustration of its multidetector-row CT and endoscopic ultrasound features in the radiological literature.

Original languageEnglish (US)
Pages (from-to)679-682
Number of pages4
JournalJournal of the Pancreas
Volume10
Issue number6
StatePublished - Nov 2009
Externally publishedYes

Keywords

  • Endosonography
  • Pancreatic neoplasms
  • Perivascular epithelioid cell neoplasms
  • Tomography
  • X-ray computed

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

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