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Case Reports in Gastrointestinal Medicine
Volume 2016, Article ID 2697187, 3 pages
http://dx.doi.org/10.1155/2016/2697187
Case Report

A Unique Case of Pancreatic Mass due to Pancreatic Elastofibromatosis

1Einstein Medical Center, Philadelphia, PA, USA
2University of Nebraska Medical Center, Omaha, NE, USA

Received 11 August 2016; Revised 25 October 2016; Accepted 31 October 2016

Academic Editor: Haruhiko Sugimura

Copyright © 2016 Abhinav Goyal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Elastofibroma is a benign tumor of the musculoskeletal system characterized by the abnormal accumulation of elastinophilic fibers. It has been classically described for subscapular region but has been reported in several musculoskeletal sites over the years and rarely even in the GI tract but never in pancreas. We therefore present the case of a 45-year-old female who presented with intermittent abdominal pain. CT of abdomen revealed 1.4 cm pancreatic neck lesion without peripancreatic lymphadenopathy. Endoscopic ultrasound (EUS) guided FNA was nondiagnostic. Surgical resection was performed with central pancreatectomy. Histopathology revealed well demarcated nodules of hypocellular collagen with abundant elastic fibers, characteristic of pancreatic elastofibroma. Treatment is not needed unless symptomatic and surgical resection is the preferred therapeutic option when indicated. This case adds another entity to the differential diagnosis of pancreatic mass lesions.