MRI features of primary pancreatic lymphoma in a young child: a case report

Q4 Medicine

Radiology Case Reports Pub Date : 2025-09-24 DOI:10.1016/j.radcr.2025.09.002

Tsega Hagos Mehari MD , Misiker Gebremariam Waktola MD

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引用次数: 0

Abstract

Primary pancreatic lymphoma is a rare type of extranodal lymphoma that originates within the pancreas. It is exceptionally uncommon in the pediatric population and requires a high index of suspicion for timely diagnosis. Differentiating Primary pancreatic lymphoma from other pancreatic tumors is crucial, as it is primarily managed with chemotherapy rather than surgical intervention. Magnetic resonance imaging, with its superior soft-tissue contrast and multiplanar capabilities, plays a pivotal role in identifying characteristic features of lymphoma. These include a well-defined, homogenous hypo-enhancing mass, evidence of diffusion restriction, and the absence of pancreatic ductal dilatation or parenchymal atrophy, all of which can support early and accurate diagnosis. We present a case of pathologically confirmed primary pancreatic lymphoma in a 3-year-old girl who initially presented with a dry cough of 3 weeks' duration. The pancreatic mass was incidentally discovered on a chest CT scan performed to investigate her respiratory symptoms, and an MRI further characterized the lesion before histologic confirmation.

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幼儿原发性胰腺淋巴瘤的MRI表现：1例报告

原发性胰腺淋巴瘤是一种罕见的起源于胰腺的结外淋巴瘤。它在儿科人群中非常罕见，需要高怀疑指数才能及时诊断。区分原发性胰腺淋巴瘤与其他胰腺肿瘤是至关重要的，因为它主要是通过化疗而不是手术干预来治疗。磁共振成像以其优越的软组织对比和多平面成像能力，在识别淋巴瘤的特征性特征方面起着关键作用。这些特征包括明确的、均匀的低增强肿块，扩散受限的证据，没有胰腺导管扩张或实质萎缩，所有这些都可以支持早期和准确的诊断。我们提出一个病例病理证实原发性胰腺淋巴瘤在一个3岁的女孩谁最初表现为干咳3周的持续时间。胰腺肿块是在进行胸部CT扫描以调查其呼吸道症状时偶然发现的，在组织学证实之前，MRI进一步描述了病变。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.