Primary pancreatic lymphoma in a young adult male: a challenging diagnosis

Primary pancreatic lymphoma in a young adult male: a challenging diagnosis

Authors

  • Umberto Tupputi Radiology Unit, “Bonomo” Hospital, Andria (BT), Italy https://orcid.org/0000-0002-0384-5864
  • Valentina Testini Radiology Unit, “Dimiccoli” Hospital, Barletta (BT), Italy https://orcid.org/0000-0003-1231-5213
  • Nicola Minerva Medicine Unit, “Bonomo” Hospital, Andria (BT), Italy
  • Claudia Suriano Radiology Unit, “Bonomo” Hospital, Andria (BT), Italy
  • Michela Capuano Radiology Unit, “Bonomo” Hospital, Andria (BT), Italy
  • Francesco Saverio Guerra Department of Clinical and Experimental Medicine, Foggia University School of Medicine, Foggia, Italy https://orcid.org/0000-0003-3923-3429
  • Domenico Mannatrizio Department of Clinical and Experimental Medicine, Foggia University School of Medicine, Foggia, Italy https://orcid.org/0000-0003-3365-7132
  • Roberto Bellitti Radiology Unit, “Dimiccoli” Hospital, Barletta (BT), Italy
  • Tommaso Scarabino Radiology Unit, “Bonomo” Hospital, Andria (BT), Italy
  • Giuseppe Guglielmi Department of Clinical and Experimental Medicine, Foggia University School of Medicine, Foggia, Italy https://orcid.org/0000-0002-4325-8330

Keywords:

Primary pancreatic lymphoma, body imaging, computed tomography, magnetic resonance imaging, case report

Abstract

Primary pancreatic lymphoma (PPL) is a rare clinical entity most likely to be misdiagnosed as pancreatic adenocarcinoma on presentation. The most common histological type of PPL is non-Hodgkin’s lymphoma. We present a case of a 48-year-old man admitted to our hospital for abdominal pain and progressive jaundice. A computed-tomography (CT) and magnetic resonance imaging (MRI) scan were performed and a large mass with slight enhancement after contrast agent administration at the pancreatic head was found. The patient underwent endoscopic-ultrasound (EUS) guided fine needle aspiration of the pancreatic mass. Histopathological diagnosis revealed a primary pancreatic lymphoma. We discuss the typical features of computed tomography (CT) and MRI of this rare clinical condition to help radiologists in the timely diagnosis for faster and more accurate diagnostic framing and to direct the patient to correct and timely treatment. 

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Published

21-06-2024

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Section

CASE REPORTS

How to Cite

1.
Tupputi U, Testini V, Minerva N, Suriano C, Capuano M, Guerra FS, et al. Primary pancreatic lymphoma in a young adult male: a challenging diagnosis. Acta Biomed [Internet]. 2024 Jun. 21 [cited 2024 Jul. 25];95(3):e2024057. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/15381