Legend:
Figure 1: A) a CT scan sagittal view with I/V & oral contrast
showing huge heterogenous hypodense mass originating from the pancreas,
the body and the tail is replaced by the mass reported as: measuring 23
cm in craniocaudal, 15 in transverse plan and 11 cm in anteroposterior
plan. B) Coronal section demonstrates the pancreatic mass compressing
the left kidney. No evidence of intraabdominal or pelvic lymph node
enlargement.
Figure 2: Intraoperative photo demonstrates the gross specimen
including the distal pancreas, spleen, part of the transvers colon, and
the adrenal gland. B). The cut surface is whirly homogenous tan to pink
to white reaching spleen capsule but not invading it.
Figure 3: histopathology
showing. A). Interaabdominal Fibromatosis
All surgical resection margins are free of tumor size 26 x 17 x 9 cm.
B). Immunohistochemical staining of the tumor showing positive satin for
anti-beta-catenin x400.