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Previous Volume 349:1954-1961 November 13, 2003 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 75-year-old man was evaluated in the clinic because of a cystic lesion of the pancreas.

For several years he had had gastroesophageal reflux, which was alleviated by pantoprazole. He continued to have intermittent, mild, vague upper abdominal pain with possible early satiety. The pain did not radiate to the back. He had not lost weight. An ultrasonographic examination performed at another hospital four months before admission showed a hyperechoic mass, 2.9 cm in diameter, in the right hepatic lobe that was eventually determined to be a hemangioma, as well as multiple hepatic cysts. Computed tomographic (CT) scanning of the . . . [Full Text of this Article]

Differential Diagnosis

Dr. William R. Brugge's Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis

Source Information

From the Departments of Surgery (A.L.W.), Medicine (W.R.B.), and Pathology (K.B.L., M.B.P.), Massachusetts General Hospital and Harvard Medical School.

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• Schapiro, R. H., Maher, M. M., Misdraji, J. (2006). Case 3-2006 -- A 63-Year-Old Woman with Jaundice and a Pancreatic Mass. NEJM 354: 398-406 [Full Text]