Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar


Lipoma of the Pancreas Diagnosed by EUS-FNA | OMICS International
ISSN: 2161-069X
Journal of Gastrointestinal & Digestive System

Like us on:

Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on Medical, Pharma, Engineering, Science, Technology and Business

Lipoma of the Pancreas Diagnosed by EUS-FNA

Kosuke Minaga1,2*, Yukitaka Yamashita1 and Yoshito Uenoyama1

1Department of Gastroenterology and Hepatology, Japanese Red Cross Society Wakayama Medical Center, Wakayama, Japan

2Department of Gastroenterology and Hepatology, Kinki University Faculty of Medicine, Osaka-sayama, Japan

*Corresponding Author:
Kosuke Minaga
Department of Gastroenterology and Hepatology
Kinki University Faculty of Medicine, Osaka-sayama
377-2 Ohno-Higashi, Osaka-Sayama 589-8511, Japan
Tel: +81-72-3660221
Fax: +81-72-3672880

Received date: May 14, 2015; Accepted date: May 15, 2015; Published date: May 21, 2015

Citation: Minaga K, Yamashita Y, Uenoyama Y (2015) Lipoma of the Pancreas Diagnosed by EUS-FNA. J Gastrointest Dig Syst 5:i105. doi: 10.4172/2161-069X.1000i105

Copyright: © 2015 Minaga K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Journal of Gastrointestinal & Digestive System


Lipoma of the pancreas; Endoscopic ultrasound-guided fine-needle aspiration; Pancreatic mesenchymal tumor

Clinical Image

Pancreatic mesenchymal tumors are infrequent and account for approximately 1-2 % of all pancreatic tumors [1]. Lipoma of the pancreas is a particularly rare condition, and only 50 cases have been described since the first case report by Bigard et al. in 1989 [2]. Recently, endoscopic ultrasound-guided fine-needle aspiration (EUSFNA) has gained wide acceptance as a safe and well established examination technique for the diagnosis of pancreatic masses. However, only three cases of pancreatic lipoma diagnosed by EUSFNA have been described to date in the literature [3-5]. Herein, we report a case of pancreatic tail lipoma diagnosed by EUS-FNA. A 72- year-old man with an incidental pancreatic mass that was detected by computed tomography (CT) was referred to our hospital.

The CT scan demonstrated a well-bordered, homogenous mass of fatty density with no contrast enhancement at the pancreatic tail (Figure 1a). On magnetic resonance imaging, the lesion had highintensity signals on both T1-weighted and T2-weighted axial sequences. Subsequently, EUS was performed to clarify the etiology of the mass using a curved linear array echoendoscope (GF-UCT260; Olympus, Tokyo, Japan). EUS revealed a 25 × 14-mm hypoechoic mass with hyperechoic strands within, and the mass was surrounded by pancreatic parenchyma (Figure 1b).


Figure 1: (a) Contrast-enhanced CT showing a 25 mm, wellbordered, homogenous mass of fatty density with no contrast enhancement at the pancreatic tail (arrow). (b) EUS image showing a 25 × 14-mm hypoechoic mass with hyperechoic strands within, and the mass was surrounded by pancreatic parenchyma.

To exclude malignant tumors such as liposarcoma and lipoblastoma, we performed EUS-FNA by a transgastric approach using a 22-G needle (Expect; Boston Scientific Corporation, Natick, MA, USA). Two passes were made with suction with no postprocedural complications.

Microscopic examination of the EUS-FNA material showed mature adipose cells characterized by a large fat droplet with no atypia, and no malignant cells were identified (Figure 2a and 2b). Thus, we confirmed the diagnosis of a pancreatic lipoma. The patient was conservatively followed up without surgical resection. Follow-up CT, conducted 1 year later, showed no apparent change in size or characteristics of the lesion.


Figure 2: Histopathological examination from EUS-FNA showing mature adipose cells characterized by a large fat droplet with no atypia. (a) Papanicolaou’s staining, ×200, (b) hematoxylin and eosin staining, ×200.


Post your comment

Share This Article

Article Usage

  • Total views: 14316
  • [From(publication date):
    June-2015 - Jul 15, 2024]
  • Breakdown by view type
  • HTML page views : 9911
  • PDF downloads : 4405