Common and Uncommon Benign Pancreatic Lesions Mimicking Malignancy: Imaging Update and Review

Publication date: Available online 26 October 2017
Source:Seminars in Ultrasound, CT and MRI
Author(s): Ulysses S. Torres, Carlos Matsumoto, Augusto Cesar de Macedo Neto, Rogério Pedreschi Caldana, Ângela Hissae Motoyama Caiado, Dario Ariel Tiferes, Gisele Warmbrand, Laiz Laura de Godoy, Giuseppe D′Ippolito
There is a broad range of inflammatory, pseudotumoral and benign lesions that may masquerade as pancreatic malignancies, often representing a challenge to the radiologist. Unawareness of these entities can lead to inadequate differential diagnoses or misdiagnosis, with important prognostic and therapeutic consequences. The purpose of this article is to revisit a spectrum of lesions, varying from common to exceedingly rare non-malignant, that may mimic malignant pancreatic neoplasms on imaging, identifying relevant features that may contribute to reaching the correct diagnosis. Representative cases include focal fatty replacement, intrapancreatic accessory spleen, pancreatic lobulation, lipoma, autoimmune pancreatitis, focal pancreatitis, eosinophilic pancreatitis, groove pancreatitis, hemangioma, intrapancreatic aneurysm, tuberculosis and Castleman′s disease.



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