Reactive Lymphoid Hyperplasia of the Pancreas: A Clinical Conundrum
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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Copyright (c) 2014 Thalis Christophides, Adam Enver Frampton, Patrizia Cohen, Tamara M H Gall, Long R Jiao, Nagy A Habib, Madhava Pai
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