Pancreatic Rheumatoid Nodule: Case Report and Review of the Literature

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To the Editor:
Rheumatoid nodules in the pancreas are an exceedingly rare cause of pancreatic mass, despite the fact that a number of visceral extra-articular manifestations of rheumatoid arthritis (RA) have been described.1 A review of the literature reveals just one other case report of rheumatoid nodulosis in the pancreas.2 These lesions may be confused with much more sinister solid tumors of the pancreas, such as pancreatic ductal adenocarcinoma. The following case report demonstrates the confusion that may result even after core biopsy of this lesion, and the importance of considering this rare pathology as a differential diagnosis.
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