Reactive Lymphoid Hyperplasia of the Pancreas: A Clinical Conundrum

  • Thalis Christophides HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
  • Adam Enver Frampton HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
  • Patrizia Cohen Department of Histopathology; Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
  • Tamara M H Gall HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
  • Long R Jiao HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
  • Nagy A Habib HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
  • Madhava Pai HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
Keywords: Pseudolymphoma, Pancreas, Pancreatectomy

Abstract

Context Localized reactive lymphoid hyperplasia is a rare condition characterized by the presence of lymphoid follicles. Case report We describe a case of a 60-year-old woman who presented with right upper quadrant pain and was found to have a reactive nodular hyperplasia of the pancreas involving the uncinate process, body and tail of the gland. Due to the multifocal distribution of these hypoechoic vascular lesions, a total pancreatectomy was performed since malignancy could not be safely excluded. Conclusion There have been a handful of cases reporting reactive lymphoid hyperplasia affecting the pancreas; however, it is uncommon to perform such a radical pancreatic resection for this benign condition.

Image: Several hyperplastic lymphoid follicles.

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Author Biographies

Thalis Christophides, HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
HPB Surgical Unit, Dept. of Surgery & Cancer
Adam Enver Frampton, HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
HPB Surgical Unit, Dept. of Surgery & Cancer
Patrizia Cohen, Department of Histopathology; Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
Dept. of Histopathology
Tamara M H Gall, HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
HPB Surgical Unit, Dept. of Surgery & Cancer
Long R Jiao, HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
HPB Surgical Unit, Dept. of Surgery & Cancer
Nagy A Habib, HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
HPB Surgical Unit, Dept. of Surgery & Cancer
Madhava Pai, HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus. London, United Kingdom
HPB Surgical Unit, Dept. of Surgery & Cancer

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Several hyperplastic lymphoid follicles
Published
2013-03-10
How to Cite
ChristophidesT., FramptonA., CohenP., GallT., JiaoL., HabibN., & PaiM. (2013). Reactive Lymphoid Hyperplasia of the Pancreas: A Clinical Conundrum. JOP. Journal of the Pancreas, 14(2), 207-211. https://doi.org/10.6092/1590-8577/1327
Section
CASE REPORTS