 |
Case Report
Diagnosis of pancreatic head cancer with prominent fatty change in the pancreatic body using 3 Tesla-enhanced magnetic resonance imaging: A case report
1 Department of Gastroenterology, Kishiwada City Hospital, Osaka, Japan
2 Department of Interventional Bilio-Pancreatology, Kawasaki Medical School, Okayama, Japan
Address correspondence to:
Kyosuke Goda
Department of Gastroenterology, Kishiwada City Hospital, 1001 Gakuharatyo, Kishiwada City, Osaka Prefecture 596-8501,
Japan
Message to Corresponding Author
Article ID: 101432Z01KG2023
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Goda K, Miyake T, Sato T, Tada Y, Nakashima Y, Yoshida K. Diagnosis of pancreatic head cancer with prominent fatty change in the pancreatic body using 3 Tesla-enhanced magnetic resonance imaging: A case report. Int J Case Rep Images 2023;14(2):164–170.ABSTRACT
Introduction: Pancreatic cancer is the seventh leading cause of cancer-related deaths worldwide, and early diagnosis is necessary to obtain a favorable postoperative prognosis. Contrast-enhanced computed tomography is generally recommended when pancreatic cancer is suspected. Herein, we present a case in which contrast-enhanced magnetic resonance imaging was used to detect pancreatic cancer, while contrast-enhanced computed tomography and endoscopic ultrasonography were unable to reveal possible pancreatic cancer.
Case Report: We present a case of a man in his 70s whose diabetes had worsened, and the main pancreatic duct was dilated, with suspicion of pancreatic cancer. Contrast-enhanced computed tomography did not reveal a tumor that indicated possible pancreatic cancer, and endoscopic ultrasonography exhibited similar findings. Therefore, 3 Tesla-enhanced magnetic resonance imaging was performed to make an image diagnosis of pancreatic cancer.
Conclusion: In lesions exhibiting invasive growth accompanied by prominent fatty change in the pancreatic body, obtaining the contrast effect of adipose tissue by contrast computed tomography is difficult. In addition, an association between prominent fatty change in the pancreatic body and pancreatic cancer has been reported. Therefore, we performed 3 Tesla-enhanced magnetic resonance imaging examination, which tends to yield favorable tissue contrast on adipose tissue images.
Keywords: Fatty change, Pancreatic body, Pancreatic head cancer, 3-T enhanced magnetic resonance imaging
SUPPORTING INFORMATION
Author Contributions
Kyosuke Goda - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Tomoo Miyake - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Tatsuki Sato - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Yamato Tada - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Yoshihiro Nakashima - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Koji Yoshida - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Kyosuke Goda et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
