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Korean J Med > Volume 88(3); 2015 > Article
The Korean Journal of Medicine 2015;88(3): 293-298.
췌장에서 발생한 고립성 섬유종: 증례보고 및 문헌조사
한승희1, 백양현1, 한상영1, 이성욱1, 정진숙2, 조진한3, 권희진3
1동아대학교 의과대학 소화기내과학교실
2동아대학교 의과대학 병리학교실
3동아대학교 의과대학 영상의학교실
Solitary Fibrous Tumor of the Pancreas: A Case Report and Review of the Literature
Seung Hee Han1, Yang Hyun Baek1, Sang-young Han1, Sung Wook Lee1, Jin Sook Jeong2, Jin Han Cho3, Hee-Jin Kwon3
1Devision of Gastroenterology, Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea
2Departments of Pathology, Dong-A University College of Medicine, Busan, Korea
3Departments of Radiology, Dong-A University College of Medicine, Busan, Korea
Corresponding Author: Yang Hyun Baek ,Tel: +82-51-240-2728, Fax: +82-51-242-5852, Email: p100100@dau.ac.kr
Received: May 28, 2014;   Revised: August 6, 2014;   Accepted: August 20, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Solitary fibrous tumors (SFTs) are histologically characterized as mesenchymal tumors of probable fibroblastic origin that can arise at pleural and extrapleural sites. SFTs originating in the pancreas are extremely rare. Here, we report a case of pancreatic SFT in a 77-year-old female who presented with jaundice. A malignant neuroendocrine tumor (NET) was suspected based on radiologic findings. However, it is difficult to differentiate SFTs from a NET from radiographs and in this report, we summarize magnetic resonance imaging findings and discuss how to distinguish between SFT and NET using immunohistochemistry. Radical excision is the treatment of choice for SFT; however, in the present case, excision was not possible and close observation showed no changes 10 months after the diagnosis.
Keywords: Pancreas; Solitary fibrous tumors
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