Ann Hepatobiliary Pancreat Surg.  2019 Aug;23(3):286-290. 10.14701/ahbps.2019.23.3.286.

A case of pancreatic hamartoma pathologically confirmed after robot-assisted pancreaticoduodenectomy

• Shin DH
• Rho SY
• Hwang HK
• Lee WJ
• Kang CM

• KMID: 2456029
• DOI: http://doi.org/10.14701/ahbps.2019.23.3.286

Abstract

Pancreatic hamartoma is a rare benign tumor that can be easily misdiagnosed due to its rarity. Its diagnostic ambiguity demands surgical resection for confirmation. We reported a 54-year-old female patient with a pancreatic hamartoma that was pathologically confirmed after surgery, and we reviewed all the reported literature for adult pancreatic hamartomas. With the advancement of techniques for minimally invasive surgery, laparoscopic or robotic pancreatectomy can be safely performed on benign or low-grade malignant tumors in which the diagnosis is uncertain.

Keyword

Pancreatic harmatoma; Robotic pancreaticoduodenectomy; Minimally invasive surgery

MeSH Terms

Adult
Diagnosis
Female
Hamartoma*
Humans
Middle Aged
Minimally Invasive Surgical Procedures
Pancreatectomy
Pancreaticoduodenectomy*

Figure

• 

  Fig. 1 (A) Preoperative computed tomography (CT) showed a 2.7 cm-sized low-attenuating mass (white arrow) in pancreatic head. (B) Mass showed peripheral enhancement on the portal venous phase. (C) PETCT showed a tumor with increased FDG uptake. (D) PETCT in coronal sectional view.

• 

  Fig. 2 (A) Well-defined, whitish, lobular, firm mass (2.2×1.7 cm). (B) (H&E ×100) Well-defined pancreatic acini and ductal elements. (C) (×100) Negative for CD 34. (D) (×100) Negative for C-kit.

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