1. Presented by Ralph Hruban, M.D. and prepared by Zarir E. Karanjawala, M.D., Ph.D.

This middle-aged woman with a poorly documented history of surgery for a fibromatosis of the abdominal wall ten years ago developed vague gastrointestinal symptoms. An abdominal CT scan revealed an ill-defined mass in the head of the pancreas with extension along the superior mesenteric artery into the mesentery.

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