A 54-year-old woman presented with chronic intermittent sharp midepigastric abdominal pain. She denied having jaundice or a change in her bowel function but admitted to a 5.4-kg weight loss over 3 months. Medical, surgical, family, and social histories were unremarkable. There was no history of neurofibromatosis 1. The results of physical examination and routine laboratory tests, including liver function tests, were normal. A right upper quadrant ultrasonographic and computed tomographic (CT) scan with contrast revealed a 1.4-cm enhancing lesion in the head of the pancreas without duct dilation (Figure 1).
Preoperative computed tomographic scan showing a 1.4-cm enhancing lesion in the head of the pancreas.
A. Pancreatic adenocarcinoma
B. Neuroendocrine carcinoma
C. Pancreatic schwannoma
D. Renal cell carcinoma metastatic to the pancreas
Dorsey F, Taggart MW, Fisher WE. Image of the Month—Quiz Case. Arch Surg. 2010;145(9):913. doi:10.1001/archsurg.2010.172-a