Neurofibroma of Pancreas Presenting with Low Back Pain

Abdominal neurogenic tumor is most commonly located in the retroperitoneum along the paravertebral sympathetic plexus and in the adrenal glands. Pancreatic neurogenic tumor is very rare. We present a case of pancreatic neurofibroma in a 44-year-old female who suffered from low back pain and epigastric discomfort. Serial imaging findings revealed a cystic tumor in the pancreatic body. Pancreatic neurofibroma was confirmed by the pathological report. The CT appearance was nonspecific and showed a well-defined hypodense mass with mild contrast enhancement and cystic component. Sonographic feature was a hypoechoic mass with both cystic and solid parts. Owing to the difficulty in imaging differential diagnosis and the rarity of such pathology of pancreas, surgical resection of the tumor should be considered for both symptomatic relief and risk of malignancy. Correspondence Author to: Jen-Dar Chen Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan No. 201, Sec. 2, Shih-Pai Road, Taipei 112, Taiwan J Radiol Sci 2011; 36: 69-72 neurofibroma of pancreas 70 J Radiol Sci March 2011 Vol.36 No.1 Figure 1. Abdominal ult rasound revealed a cystic lesion with solid component (arrow) in the body of pancreas. Figure 1