ABSTRACT
BACKGROUND: Pancreatic hamartomas are extremely rare and may be misdiagnosed as malignant tumors. We report herein a case of a small, solid-type pancreatic hamartoma. CASE PRESENTATION: A 72-year-old female was incidentally detected pancreatic lesion by ultrasonography. Computed tomography and magnetic resonance imaging revealed a 2.0-cm solid lesion. The main pancreatic duct (MPD) was obstructed by the lesion in the head of the pancreas, and the upstream MPD was dilated. 18F-fluorodeoxyglucose (FDG) accumulated avidly in the lesion and increased in FDG intensity from the early to the delayed images. The histopathological studies confirmed the diagnosis of pancreatic hamartoma. Immunohistochemically, the cell membrane of the accessory glands and ducts showed homogeneous expression of glucose transporter type I and hexokinase II. CONCLUSION: Pancreatic hamartomas causing dilatation of the MPD are extremely rare, and this appears to be the first case of a hamartoma to take up FDG avidly. It was a rare occurrence and should be noted that pancreatic hamartomas can cause an obstruction of the MPD and show avid FDG uptake, thereby mimicking malignant pancreatic tumors.
Subject(s)
Hamartoma/pathology , Pancreatic Diseases/pathology , Pancreatic Ducts/pathology , Pancreatic Neoplasms/diagnosis , Aged , Cholangiopancreatography, Endoscopic Retrograde , Constriction, Pathologic , Diagnosis, Differential , Endosonography , Female , Fluorodeoxyglucose F18 , Hamartoma/diagnostic imaging , Humans , Magnetic Resonance Imaging , Pancreatic Diseases/diagnostic imaging , Pancreatic Ducts/diagnostic imaging , Positron Emission Tomography Computed Tomography , Tomography, X-Ray ComputedABSTRACT
BACKGROUND: Studies in various fields have demonstrated that experts use specific gaze strategies to achieve better performance. Therefore, we hypothesized that mothers familiar with breastfeeding would use a specific gaze strategy to achieve better latching-on. METHODS: A head-mounted eye tracker was used to record pupil positions from 14 breastfeeding mothers with 1-month-old infants. Eye gazes were analyzed during the latching-on and assessment phases. RESULTS: During the latching-on phase, participants tended to fixate on their breast, the infant's lower face, an intermediate region between the infant's face and the breast, and the region of contact between the infant's mouth and the breast. Once the infant latched onto the breast, mothers typically assessed the latch by fixating on their breast or the region of contact between the infant's mouth and the breast. The gaze patterns were generally maintained without being influenced by the subtask properties of each phase. CONCLUSION: Similar to previous studies, we found that mothers fixated on specific locations that were relevant to the current breastfeeding subtask, suggesting that the gaze behavior contributes to the execution of latching-on. Therefore, it is important to consider that successful latching-on is influenced by maternal physical movements and efficient gazing behaviors.
