title: [Localized retroperitoneal xanthofibrogranuloma simulating a pancreatic tumor].
abstract: The diagnosis of xanthofibrogranuloma is difficult. This is examplified by observations in a 46-year-old man with a palpable tumor in the left upper abdomen. Even modern diagnostic procedures like ultrasound, angiography and ERCP were unable to clarify the diagnosis. Only when laparotomy demonstrated a circumscript tumor, 7 x 7 x 10 cm in size, below the pancreas which was enucleated, the suspicion of a pancreatic tumor could be dismissed. The different clinical pictures of xanthofibrogranuloma ware discussed. Etiology is still unknown. Therapy as a rule should be surgical.
mesh_terms: D002445:Celiac Artery / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004724:Endoscopy; D005350:Fibroma / Q000175:diagnosis* / Q000473:pathology; D006099:Granuloma / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000473:pathology; D011859:Radiography; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis* / Q000473:pathology; D014463:Ultrasonography
vernacular_title: Lokalisiertes retroperitoneales Xanthofibrogranulom unter dem Bild eines Pankreastumors.