A Unique Case of Pancreatic Mass due to Pancreatic Elastofibromatosis

Elastofibroma is a benign tumor of the musculoskeletal system characterized by the abnormal accumulation of elastinophilic fibers. It has been classically described for subscapular region but has been reported in several musculoskeletal sites over the years and rarely even in the GI tract but never...

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Main Authors: Abhinav Goyal, Deepanshu Jain, Ishfaq Bhat, Shailender Singh
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2016/2697187
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author Abhinav Goyal
Deepanshu Jain
Ishfaq Bhat
Shailender Singh
author_facet Abhinav Goyal
Deepanshu Jain
Ishfaq Bhat
Shailender Singh
author_sort Abhinav Goyal
collection DOAJ
description Elastofibroma is a benign tumor of the musculoskeletal system characterized by the abnormal accumulation of elastinophilic fibers. It has been classically described for subscapular region but has been reported in several musculoskeletal sites over the years and rarely even in the GI tract but never in pancreas. We therefore present the case of a 45-year-old female who presented with intermittent abdominal pain. CT of abdomen revealed 1.4 cm pancreatic neck lesion without peripancreatic lymphadenopathy. Endoscopic ultrasound (EUS) guided FNA was nondiagnostic. Surgical resection was performed with central pancreatectomy. Histopathology revealed well demarcated nodules of hypocellular collagen with abundant elastic fibers, characteristic of pancreatic elastofibroma. Treatment is not needed unless symptomatic and surgical resection is the preferred therapeutic option when indicated. This case adds another entity to the differential diagnosis of pancreatic mass lesions.
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institution Kabale University
issn 2090-6528
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-6a60e8841a7e4e0693f62cd64d66fb3b2025-08-20T03:33:41ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362016-01-01201610.1155/2016/26971872697187A Unique Case of Pancreatic Mass due to Pancreatic ElastofibromatosisAbhinav Goyal0Deepanshu Jain1Ishfaq Bhat2Shailender Singh3Einstein Medical Center, Philadelphia, PA, USAEinstein Medical Center, Philadelphia, PA, USAUniversity of Nebraska Medical Center, Omaha, NE, USAUniversity of Nebraska Medical Center, Omaha, NE, USAElastofibroma is a benign tumor of the musculoskeletal system characterized by the abnormal accumulation of elastinophilic fibers. It has been classically described for subscapular region but has been reported in several musculoskeletal sites over the years and rarely even in the GI tract but never in pancreas. We therefore present the case of a 45-year-old female who presented with intermittent abdominal pain. CT of abdomen revealed 1.4 cm pancreatic neck lesion without peripancreatic lymphadenopathy. Endoscopic ultrasound (EUS) guided FNA was nondiagnostic. Surgical resection was performed with central pancreatectomy. Histopathology revealed well demarcated nodules of hypocellular collagen with abundant elastic fibers, characteristic of pancreatic elastofibroma. Treatment is not needed unless symptomatic and surgical resection is the preferred therapeutic option when indicated. This case adds another entity to the differential diagnosis of pancreatic mass lesions.http://dx.doi.org/10.1155/2016/2697187
spellingShingle Abhinav Goyal
Deepanshu Jain
Ishfaq Bhat
Shailender Singh
A Unique Case of Pancreatic Mass due to Pancreatic Elastofibromatosis
Case Reports in Gastrointestinal Medicine
title A Unique Case of Pancreatic Mass due to Pancreatic Elastofibromatosis
title_full A Unique Case of Pancreatic Mass due to Pancreatic Elastofibromatosis
title_fullStr A Unique Case of Pancreatic Mass due to Pancreatic Elastofibromatosis
title_full_unstemmed A Unique Case of Pancreatic Mass due to Pancreatic Elastofibromatosis
title_short A Unique Case of Pancreatic Mass due to Pancreatic Elastofibromatosis
title_sort unique case of pancreatic mass due to pancreatic elastofibromatosis
url http://dx.doi.org/10.1155/2016/2697187
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