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Treatment & Prognosis: Pancreatic heterotopia is a benign, non-neoplastic lesion that is usually asymptomatic. Rare cases develop complications, including islet cell tumor or ductal adenocarcinoma.
Small, superficial lesions are usually treated by endoscopic resection. In case of larger lesions, laparoscopic wedge resection may become necessary.
About this image: This low power image shows heterotopic pancreas in stomach. Gastric mucosa is on the top. Pancreatic tissue is the basophilic area underneath the gastric mucosa. The black tissue on the left and upper right is the result of tattoo placed by the endoscopist to mark the site of the lesion for subsequent surgical management.
Image courtesy of: Sanjay Mukhopadhyay, MD.
Small, superficial lesions are usually treated by endoscopic resection. In case of larger lesions, laparoscopic wedge resection may become necessary.
About this image: This low power image shows heterotopic pancreas in stomach. Gastric mucosa is on the top. Pancreatic tissue is the basophilic area underneath the gastric mucosa. The black tissue on the left and upper right is the result of tattoo placed by the endoscopist to mark the site of the lesion for subsequent surgical management.
Image courtesy of: Sanjay Mukhopadhyay, MD.