Pancreas CT Appearances

Pancreatic Lymphoma CT Findings

• Large circumscribed focal mass
• Delayed homogeneous enhancement
• Diffuse infiltration
• Glandular enlargement
• Peri-pancreatic fat stranding
• Vessel encasement
• CBD dilation is more common than pancreatic duct dilation
• Peripancreatic lymphadenopathy can be significant

Other Information About Pancreatic Lymphoma

Etiology:

• Unknown
• Usually part of multiorgan involvement by lymphoma

Epidemiology:

• Very rare
• Usually present in the 5th and 6th decades of life
• More common in males

Presentation:

• Usually asymptomatic
• Abdominal pain
• Weight loss
• Jaundice
• Nausea and/or vomiting
• Palpable mass

Prognosis:

• Since PPL is very rare, the real prognosis is unknown
• Studies suggest the 5-year relative survival rate to be around 30%

Related Pearls: Pancreatic Lymphoma