Poster Session C - Monday Afternoon
Arjun Chatterjee, MD
Cleveland Clinic Foundation
Cleveland, OH
Case # | Past Medical History | Presentation | Pancreatic lesions | Pathology | Management |
1 | Coronary artery bypass | Abdominal pain, unintentional weight loss, fatigue | Two (Pancreatic body and tail) | Adenocarcinoma | Follow up with hematology/ oncology, radiation oncology, palliative care |
2 | Coronary artery disease | Postprandial gastric discomfort, unintentional weight loss | Two (Pancreatic head, and tail) | Areas of fibrosis and edema with lymphoplasmacytic infiltration and immunohistochemistry was positive for IgG4 positive plasma cells consistent with Type 1 Autoimmune Pancreatitis | Responding to steroids |
3 | Complicated sarcoidosis diagnosed in 2015 with pulmonary and extrapulmonary involvement including bones, spleen on prednisone taper History of Waldenstrom’s, marginal zone lymphoma status post RCVP (Rituximab, Cyclophosphamide, Vincristine, Prednisolone) therapy in 2015 followed by Rituximab maintenance till 2017 | Incidental findings on imaging | Three (Pancreatic head, uncinate process, and tail) | Non-caseating granulomas consistent with sarcoidosis | Off plaquenil, methotrexate, infliximab due to side effects, not on any sarcoidosis medication since 2019. Clinical monitoring and cardiac MRI |