2017 Volume 32 Issue 6 Pages 882-890
We report the case of a 63-year-old female admitted to our hospital with multiple pancreatic nodules detected by ultrasound during her medical examination. Computed tomography revealed three solid masses measuring 15mm, 20mm, and 30mm in diameter located at head, body, and tail of the pancreas.
She recelved a preliminary diagnosis of PNET from the prior institution which was hased on EUS-FNA cytology. Therefore, we conducted 68Ga-DOTATOC-PET/CT, which showed abnormal uptake in each of the lesions of the pancreas. She underwent EUS-FNA biopsy for correct histological diagnosis after admission. The EUS-FNA specimen was marked with severe lymphocytes infiltration with strongly positive SSTR type 2 immunostaining. Neither PNET nor AIP-like lesions were noted histologically. We concluded a final diagnosis of mass-forming pancreatitis. Her follow-up has been uneventful and her pancreatic lesions remain unchanged.
