Korean J Med.  2015 Mar;88(3):293-298. 10.3904/kjm.2015.88.3.293.

Solitary Fibrous Tumor of the Pancreas: A Case Report and Review of the Literature

Affiliations
  • 1Devision of Gastroenterology, Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea. p100100@dau.ac.kr
  • 2Department of Pathology, Dong-A University College of Medicine, Busan, Korea.
  • 3Department of Radiology, Dong-A University College of Medicine, Busan, Korea.

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.

Keyword

Pancreas; Solitary fibrous tumors

MeSH Terms

Aged
Diagnosis
Female
Fibroblasts
Humans
Immunohistochemistry
Jaundice
Magnetic Resonance Imaging
Neuroendocrine Tumors
Pancreas*
Solitary Fibrous Tumors*
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