Work

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

Year: 2025

Type: article

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.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2025.09.002

Authors: Tsega Hagos Mehari, Misiker Gebremariam Waktola

Institutions: Mekelle University, Addis Ababa University

Language: English

Topic: Lymphoma Diagnosis and Treatment

Subfield: Pathology and Forensic Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600